Scanning before injection for costochondritis: A case report of ultrasound imaging of Hodgkin's lymphoma with chest wall invasion

Abstract

Non‐traumatic costochondritis, which manifests as pain and tenderness over the anterior chest wall, may be associated with inflammatory arthritis affecting the upper costochondral and sternocostal joints. Local corticosteroid injection is helpful for recalcitrant cases and ultrasound guidance may not be routinely used by experienced rheumatologists. We report a female patient with pain over the right upper parasternal area with gradual swelling near the first costosternal junction. The ultrasound examination revealed a hyper‐vascular mass, which was proven to be Hodgkin's lymphoma. We want to emphasize the importance of using ultrasound for guiding injection for costochondral lesions which facilitated the detection of a tumor invading the chest wall in our case.

Lymphoma mimicking spondyloarthritis: A series of 10 cases

“…Hodgkin's lymphoma involving the pleura and chest wall is extremely rare. 14 In patients with clinical stage I-II Hodgkin TA B L E 1 General information of 10 patients. enrichment of radioactivity at the local lesion.…”