title: Axillary swelling and a reduced general condition in a middle-aged man.
abstract: BACKGROUND
  A 48-year-old man presented to his GP with an indolent swelling in his left axillary region. He also complained of a cough, a feeling of pressure in his chest, general poor health, and had increasingly suffered from night-time sweating and fever. Physical examination and an ultrasound revealed an enlarged lymph node of almost 4 cm in the left axillary region and several smaller lymph nodes of 1.5-2.0 cm in the left cervical region. Laboratory tests were unremarkable, except for an elevated erythrocyte sedimentation rate.
  
  
  METHODS
  Excisional biopsy, radiography, ultrasound, CT scan, bone marrow biopsy, radionuclide imaging, echocardiography and lung function tests.
  
  
  METHODS
  Early-stage unfavorable (intermediate) lymphocyte-rich classical Hodgkin's lymphoma.
  
  
  RESULTS
  Chemotherapy (treatment with doxorubicin, bleomycin, vinblastine and dacarbazine) and involved-field radiotherapy.
authors.affiliation: Department I of Internal Medicine/GHSG, University of Cologne, Cologne, Germany. beate.klimm@biometrie.uni-koeln.de
authors.forename: Beate
authors.initials: B
authors.lastname: Klimm
authors.forename: Andreas
authors.initials: A
authors.lastname: Engert
authors.forename: Volker
authors.initials: V
authors.lastname: Diehl
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001365:Axilla; D001706:Biopsy; D001761:Bleomycin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003606:Dacarbazine / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D006689:Hodgkin Disease / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D014747:Vinblastine / Q000008:administration & dosage
chemical_list: D001761:Bleomycin; D014747:Vinblastine; D003606:Dacarbazine; D004317:Doxorubicin