An unusual case of late recurrent Hodgkin lymphoma presenting with soft tissue masses

Abstract

Hodgkin lymphoma remains primarily a nodal disease. Extranodal involvement in Hodgkin lymphoma is less common than that seen in non-Hodgkin lymphoma. In particular, extranodal Hodgkin lymphoma involving soft tissues is extremely rare. We report a case of extranodal Hodgkin lymphoma involving breast and thigh tissues in a 72 year-old female. CAT scan showed a complex mass like area centered around the distal aspect of the vastus medialis. Ultrasound showed an ovoid solid and cystic mass in the right breast. This case illustrates that, while rare, Hodgkin lymphoma can manifest as soft tissue masses.