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Axillary swelling and a reduced general condition in a middle-aged man

Nature Clinical Practice Oncology volume 1, pages 51–54 (2004)Cite this article

Abstract

Background A 48-year-old man presented to his GP with an indolent swelling in his left axillary region. He also complained of a cough, a feeling of pressure in his chest, general poor health, and had increasingly suffered from night-time sweating and fever. Physical examination and an ultrasound revealed an enlarged lymph node of almost 4 cm in the left axillary region and several smaller lymph nodes of 1.5–2.0 cm in the left cervical region. Laboratory tests were unremarkable, except for an elevated erythrocyte sedimentation rate.

Investigations Excisional biopsy, radiography, ultrasound, CT scan, bone marrow biopsy, radionuclide imaging, echocardiography and lung function tests.

Diagnosis Early-stage unfavorable (intermediate) lymphocyte-rich classical Hodgkin's lymphoma.

Management Chemotherapy (treatment with doxorubicin, bleomycin, vinblastine and dacarbazine) and involved-field radiotherapy.

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Author information

Authors and Affiliations

  1. B Klimm is an Assistant Doctor, and A Engert is a Senior Consultant at the Department I of Internal Medicine/GHSG, University of Cologne, Cologne, Germany

    Beate Klimm & Andreas Engert

  2. German Hodgkin Lymphoma Study Group,

    Volker Diehl

  3. Medical Department at the University of Cologne, Germany

    Volker Diehl

Authors
  1. Beate Klimm
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  2. Andreas Engert
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  3. Volker Diehl
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Corresponding author

Correspondence to Beate Klimm.

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The authors declare no competing financial interests.

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Klimm, B., Engert, A. & Diehl, V. Axillary swelling and a reduced general condition in a middle-aged man. Nat Rev Clin Oncol 1, 51–54 (2004). https://doi.org/10.1038/ncponc0024

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  • DOI: https://doi.org/10.1038/ncponc0024

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