A further case of lymph node calcification in Hodgkin's disease following radiotherapy

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Abstract
Attention has recently been drawn by Whitfield and Jones (1970) to a case of Hodgkin's disease in which lymph node calcification in the right side of the mediastinum developed nine years after radiotherapy. It may, therefore, be of interest to report the case history of another patient in whom this rare condition developed in the mediastinum as early as 20 months after her initial treatment for the same disease. The patient was a schoolgirl, aged 11, who in the middle of March, 1959 began to feel unwell with loss of energy and appetite. At this time it was noted that she had a swelling measuring 5 × 3 cm. in the left side of her neck and she was admitted to the Royal Victoria Hospital, Belfast. She presented as a rather thin, frail, young girl. The consistency of the palpable lymph nodes on the left side of the neck suggested Hodgkin's disease. Before being seen in the radiotherapy department she had been given a course of 10 mg of triethylene melamine as 2·5 mg tablets over a period of a few days. A radiograph of her chest on 6.4.59 (Fig. 1) showed a considerable lymph node mass lying within the mediastinum and projecting into the parenchyma of the lung fields. Apart from the neck, no nodes were palpable at any other superficial site and the spleen and liver were not felt.

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