Key result
Polychemotherapy resulted in an excellent response with near-complete disappearance of the mass and a residual faint systolic murmur in a patient with primary pulmonary Hodgkin's lymphoma.
Case Report (n=1)
Primary pulmonary Hodgkin's lymphoma can rarely present with systemic to pulmonary fistulas causing a continuous murmur, which may resolve with polychemotherapy.
Rare systemic-pulmonary fistulas may signal occult pulmonary Hodgkin lymphoma; extends sparse case literature but leaves broader implications open.
Systemic to pulmonary fistulas are an unusual entity, even more so in association with Hodgkin's lymphoma. We herein report a case of a 33-year-old woman that presented with an incidental lung lesion on a chest radiograph with an associated high-frequency continuous murmur over the lesion. The diagnosis of primary pulmonary Hodgkin's lymphoma, nodular sclerosis type, was obtained by a CT transthoracic biopsy. We achieved an excellent response after polychemotherapy with near-complete disappearance of the mass and a residual faint systolic murmur over the lesion.
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Luca et al. (2018) conducted a case report in Primary pulmonary Hodgkin's lymphoma (n=1). Polychemotherapy was evaluated on Tumor response. Polychemotherapy resulted in an excellent response with near-complete disappearance of the mass and a residual faint systolic murmur in a patient with primary pulmonary Hodgkin's lymphoma.
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