Primary Gastric Hodgkin’s Lymphoma: An Extremely Rare Entity and A Diagnostic Challenge

Excerpt

A 71-year-old man was admitted to Stanford University Hospital with a 1-year history of poor appetite, 20 lbs weight loss, and recent episodes of hematemesis. He did not complain of abdominal pain, dysphagia, odynophagia, fever, or chills. His past medical history was significant for hypertension and gastro-esophageal reflux disease. The family and social history were unremarkable. Physical examination revealed a thin male with normal vital signs. There was no peripheral lymphadenopathy, and examination of the abdomen was unremarkable, with no enlargement of the liver or spleen or ascites. Laboratory investigations revealed iron deficiency anemia with a hemoglobin of 7.5 g/dL, WBC of 7,100/µL, and platelet count of 365,000/µL. His serum electrolytes and liver function tests were normal. Blood transfusion was declined due to religious beliefs. …