DAVID A. VAN ECHO, M.D.; EDWARD A. SICKLES, M.D.; PETER H. WIERNIK, M.D.
To the editor: The thoracic outlet syndrome is characterized by symptoms of compression of the brachial plexus and subclavian artery and vein, usually between the clavicle and first rib. Reported causes have been bony outgrowth (congenital and acquired), trauma, scalenus anticus muscle compression, and postural abnormalities (1-4). We now report the first case of thoracic outlet syndrome secondary to massive supraclavicular lymph node enlargement in Hodgkin's disease.
A 17-year-old man was hospitalized for evaluation of nodular sclerosing Hodgkin's disease, diagnosed by left supraclavicular node biopsy 1 month previously. He was asymptomatic. The previously biopsied mass measured 5 X 7 cm.
VAN ECHO DA, SICKLES EA, WIERNIK PH. Thoracic Outlet Syndrome, Supraclavicular Adenopathy, Hodgkin's Disease. Ann Intern Med. ;78:608–609. doi: 10.7326/0003-4819-78-4-608
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Published: Ann Intern Med. 1973;78(4):608-609.
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