16528              ENLARGED PANCREATIC LYMPH NODES

A man of 42 had proven Hodgkin’s disease since biopsy of cervical lymph node 10 years before.  Since then he had had intermittent courses of nitrogen mustards, cyclophosphamide and radio-therapy.  One month before death there was dysphagia and barium swallow showed oesophageal indentation from mediastinal glands.  He developed a tracheo-oesophageal fistula with pulmonary infection and died.  Post mortem showed widespread Hodgkin’s disease in many groups of nodes above and below the diaphragm.

The specimen consists of the stomach and lesser omentum.  The latter is largely replaced by a large mass of confluent matted lymphomatous lymph nodes.