Case 27-1976

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Abstract
Presentation of CaseA 32-year-old man was admitted to the hospital because of meningitis.He was well until five years previously, when fatigue, weight loss, sweats and fever developed. A lymph-node biopsy disclosed Hodgkin's disease, nodular-sclerosis type. An x-ray film of the chest demonstrated hilar and paratracheal lymphadenopathy; a lymphangiographic examination was negative. A staging laparotomy revealed involved celiac-axis lymph nodes and gross evidence of disease in the spleen, which was removed; a liver biopsy was negative. A diagnosis of Hodgkin's disease, Stage IIIB, was made. A course of MOPP (nitrogen mustard, Oncovin [vinblastine], procarbazine and prednisone) was given, without . . .