title: [Bronchial erosion of mediastinal lymphadenopathy associates with Hodgkin's disease].
abstract: BACKGROUND
  Erosion of mediastinal adenopathy into the bronchial tree is classically associated with tuberculosis. We describe two cases of of such bronchial erosion with Hodgkin's disease.
  
  
  METHODS
  The first case was of a seventy-year old man with a history of pulmonary silicosis. A sub-carenal mass was identified during investigation of chronic cough. The bronchoscopy revealed an inflammatory stenosis due to Hodgkin's disease. The second case was of a thirteen-year old child whose Hodgkin's disease was thought to be in remission following treatment. The erosion of mediastinal adenopathy into the main left bronchus produced complete left pulmonary atalectasis, which required endobronchial stenting.
  
  
  CONCLUSIONS
  In both cases, rigid bronchoscopy provided a histological diagnosis with diagnosis of Hodgkin's disease in the first case, and identification of recurrence in the other one. These cases are unusual. Such complications are usually complications of radiotherapy. Classically, erosion of mediastinal adenopathy into the bronchial tree is tuberculous in origin but they can be neoplasic.
authors.affiliation: Service de Pneumologie, Hôpital Pontchaillou, CHU, Rennes, France. graziella.brinchault@chu-rennes.fr
authors.forename: G
authors.initials: G
authors.lastname: Brinchault
authors.forename: C
authors.initials: C
authors.lastname: Rochefort-Morel
authors.forename: V
authors.initials: V
authors.lastname: Morel
authors.forename: C
authors.initials: C
authors.lastname: Edan
authors.forename: S
authors.initials: S
authors.lastname: Caulet-Maugendre
authors.forename: H
authors.initials: H
authors.lastname: Lena
authors.forename: Ph
authors.initials: P
authors.lastname: Delaval
mesh_terms: D000293:Adolescent; D000368:Aged; D001983:Bronchial Fistula / Q000209:etiology*; D005260:Female; D005402:Fistula / Q000209:etiology*; D006689:Hodgkin Disease / Q000150:complications*; D006801:Humans; D008206:Lymphatic Diseases / Q000209:etiology*; D008297:Male; D008477:Mediastinal Diseases / Q000209:etiology*