Hodgkin Lymphoma Untreated for Six Years Presenting with Tracheoesophageal FistulaReport as inadecuate




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Case Reports in MedicineVolume 2012 2012, Article ID 457908, 4 pages

Case Report

Department of Lymphoma and Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA

Campbell County Memorial Hospital, Gillette, WY 82717, USA

Received 6 April 2012; Accepted 31 May 2012

Academic Editor: Gerald S. Supinski

Copyright © 2012 Jason R. Westin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hodgkin lymphoma is a highly curable cancer with modern therapy, with five-year survival rates in excess of 80%. However, the natural history of the untreated disease is largely unknown. We present the case of a patient with Hodgkin lymphoma who went untreated for over 5 years due to patient choice. Eventually, the patient developed hypoxemia, significant weight loss, and a tracheoesophageal fistula. After a placement of a gastrostomy tube and tracheal stent, treatment with standard chemotherapy was initiated. The patient achieved an excellent response, the fistula closed without further intervention, and there is no evidence of relapse six years later. Even in a patient with significant Hodgkin-lymphoma-related sequelae, standard therapy can result in excellent long-term outcomes.





Author: Jason R. Westin, Amye Gibbs, Keith R. Mills, and Sattva S. Neelapu

Source: https://www.hindawi.com/



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