결핵과 호지킨 림프종이 액와부 림프절에 공존하였던 1예

• Published in: Tuberculosis and respiratory diseases Vol. 70; no. 4; pp. 342 - 346
• Main Authors: 반우호, 강현희, 백명기, 김재경, 김현진, 백인운, 김은오, 고선혜, 이상학, 문화식, 민기옥, Ban, Woo-Ho, Kang, Hyeon-Hui, Baeg, Myong-Ki, Kim, Jae-Gyung, Kim, Hyun-Jin, Baek, In-Woon, Kim, Eun-Oh, Ko, Sun-Hye, Lee, Sang-Haak, Moon, Hwa-Sik, Min, Ki-Ouk
• Format: Journal Article
• Language: Korean
• Published: 대한결핵및호흡기학회 01.04.2011
• Subjects: 내과학; Lymphadenitis; Hodgkin Disease; Tuberculosis
• ISSN: 1738-3536; 2005-6184

Herein we report the case of a 71-year-old woman who complained of fatigue and enlarged right axillary lymph nodes for 18 months. At her first visit, her chest X-ray showed diffuse nodular opacities in both lung fields. Initial excisional biopsy of the axillary lymph nodes showed granulomatous lesions and acid fast bacilli were seen on Ziehl-Neelsen staining. However, even after 15 months of anti-tuberculosis (TB) medication, her right axillary lymph nodes were enlarged. We re-performed an excisional biopsy of the nodes, which showed Hodgkin's lymphoma (HL). A retrograde review of the biopsy before anti-tuberculous medication, revealed HL coexisting with TB. HL and TB cause difficulties in differential diagnosis due to similarities in clinical course, imaging procedures and histopathological analysis of the involved tissue. Therefore, it is important to consider the possibility of concurrent HL and TB when patients who undergo treatment for TB or chemotherapy for lymphoma complain of persistent systemic symptoms or enlarged lymph nodes.