Synchronous Hodgkin lymphoma and gastric adenocarcinoma: A rare case report and literature review.

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Synchronous Hodgkin lymphoma and gastric adenocarcinoma: A rare case report and literature review.

Medicine (Baltimore). 2018 Jan;97(3):e9484

Authors: Wu H, Wei L, Hao L, Li X, Wang L, Yuan C

Abstract
Hodgkin lymphoma (HL) is a lymphoproliferative disease arising in the lymphoid tissue, which is characterized by Reed-Sternberg cells. Adenocarcinoma is the most frequent pathological type of stomach cancer. Improved survival in HL patients leads to the development of secondary malignancies. However, synchronous occurrence of these 2 malignancies is extremely rare. Here, we present a 45-year-old male complaining of a lymph node mass in the neck, without any abdominal symptoms, diagnosed as HL and gastric adenocarcinoma with hepatitis B carrier status. We treated the patient with 8 courses of pirarubicin bleomycin, vincristine, and dacarbazine (modified ABVD), and 4 courses of capecitabine therapy concurrently along with oral entecavir, as the patient survived longer than 20 months.The prognosis of multiple primary malignancies is poor because therapy is difficult, without a standard treatment. The frequency of multiple primary malignancies is increasing in recent years, and second malignancies in patients with cancer should be taken into consideration.

PMID: 29504971 [PubMed - indexed for MEDLINE]

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