Gluteal manifestation of advanced Hodgkin's disease

Samuel Ariad, Lev Hatskelzon, Daniel Benharroch, David B. Geffen

    Research output: Contribution to journalArticlepeer-review

    10 Scopus citations

    Abstract

    Hodgkin's disease (HD) is a nodal malignancy with a characteristically axial pattern of spread and with contiguous progression via lymphatic channels. Even when dissemination occurs beyond the lymphoreticular system, certain patterns of associated spread are frequently evident. We describe a case of nodular sclerosis HD with a 12-year indolent course and late involvement of the gluteal muscle. Initially, stage was IVb with spleen and bone marrow involvement, complicated by a Coomb's positive hemolytic anemia. Following chemotherapy, the patient had a partial response with the subsequent long course of slowly progressive disease invading first the urinary bladder and, later, the gluteus. Involvement of the gluteal muscle is a rare event in HD. Spread to the gluteus occurred most likely by contiguity, via retroperitoneal lymphnodes.

    Original languageEnglish
    Pages (from-to)622-625
    Number of pages4
    JournalSkeletal Radiology
    Volume26
    Issue number10
    DOIs
    StatePublished - 1 Oct 1997

    Keywords

    • Contiguity
    • Gluteus
    • Hodgkin's disease
    • Lymphoma
    • Metastasis
    • Striated muscle

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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