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Start Over Author "Feldges A" Journal pediatric surgery international
3 results on '"Feldges A"'

3. Recurrent mediastinal mass in a child with Hodgkin's disease following successful therapy: a diagnostic challenge

Author

U. Schmid, H. P. Wagner, B. Kehrer, A. Feldges, G. Ries, P. Waibel, and B. Bubeck

Subjects
medicine.medical_specialty, Open biopsy, medicine.medical_treatment, Mediastinal Neoplasms, Antineoplastic Combined Chemotherapy Protocols, Medicine, Humans, Stage (cooking), Child, Tomography, Emission-Computed, Single-Photon, business.industry, Biopsy, Needle, Mediastinum, General Medicine, Hyperplasia, medicine.disease, Hodgkin Disease, Lymphoma, Surgery, Radiation therapy, medicine.anatomical_structure, Pediatrics, Perinatology and Child Health, Female, Radiotherapy, Adjuvant, Neoplasm Recurrence, Local, business, Complication, Tomography, X-Ray Computed, Chemoradiotherapy, Follow-Up Studies
Abstract

The case of an 11-year-old girl with mediastinal stage III B-E Hodgkin's disease is described. She achieved complete remission with combined chemoradiotherapy according to the Swiss Pediatric Oncology Group-HD Protocol 1985. Six months after all therapy was stopped, a slowly growing retrosternal mass was detected. Computed tomography (CT) and gallium-67 single-photon emission CT (SPECT) could not elucidate the true origin of the tumor, nor did ultrasound-guided transthoracic fine-needle puncture. Open biopsy with histologic examination of the lesion has successfully identified the mass as thymic hyperplasia, a rebound immunologic reaction after chemoradiotherapy that mimicked tumor regrowth.

Published
1997

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