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Suppression of Hodgkin's disease in a patient with Cushing's syndrome
Della L Howell1, John Bergsagel, Roland Chu
1Division of Hematology Oncology, Department of Pediatrics, Emory University and AFLAC Cancer Center and Blood Disorders Services of Children's Healthcare of Atlanta, Atlanta, Georgia, USA. Della.Howell@choa.org
Abstract:
Hodgkin's disease, one of the more common tumors in pediatric oncology, has been shown to be highly responsive to steroids in conjunction with other chemotherapy agents. The authors describe a patient with Cushing's syndrome that suppressed his Hodgkin's disease. He developed constitutional symptoms, and his Hodgkin's disease progressed after the removal of his pituitary tumor. The patient is disease-free following ABVD/MOPP chemotherapy. A high level of steroids before treatment, albeit endogenous, did not preclude successful treatment of Hodgkin's disease. The effect of Cushing's syndrome on Hodgkin's disease has not been previously reported.
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