Classical Hodgkin's Lymphoma with Skeletal Muscle Involvement: A Testing Case

• Published in: Journal of the College of Physicians and Surgeons--Pakistan Vol. 29; no. 1; pp. 81 - 83
• Main Authors: Baqari, Syed Ali Shazif, Razi, Mairah, Hayat, Javeria, Wali, Rabia Mohammad
• Format: Journal Article
• Language: English
• Published: Pakistan College of Physicians and Surgeons Pakistan 01.01.2019
• Subjects: Antineoplastic Combined Chemotherapy Protocols; Bone Marrow - pathology; Care and treatment; Case studies; Child; Diagnosis; Health aspects; Hematopoietic Stem Cell Transplantation; Hodgkin Disease - diagnostic imaging; Hodgkin Disease - pathology; Hodgkin's disease; Humans; Male; Muscle Neoplasms - diagnostic imaging; Muscle Neoplasms - pathology; Muscle, Skeletal - diagnostic imaging; Muscle, Skeletal - pathology; Neoplasm Staging; Positron emission tomography; Positron Emission Tomography Computed Tomography - methods; Skeletal muscle; Transplantation, Autologous; Treatment Outcome
• ISSN: 1022-386X; 1681-7168
• DOI: 10.29271/jcpsp.2019.01.81

Skeletal muscle involvement in Hodgkin lymphoma is very rare. An 11-year male child presented with stage IV Hodgkin lymphoma and skeletal muscle involvement in right gluteal, piriformis and psoas muscles. He had resistant disease. He achieved remission with 3rd line chemotherapy, EPIC; and successfully underwent high dose chemotherapy with autologous stem cell rescue. The patient is well after 15 months of follow-up. Successful treatment signifies positron emission computed tomography (PET/CT) evaluation and multidisciplinary team discussions in diagnosis and management of a rare Hodgkin lymphoma presentation.