case 318:diffuse lymphadenopathy, dr phan thanh hẢi
Post on 03-Aug-2015
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CASE 318 : DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.
Woman 56 yo low-grade fever for one month, swollen neck and left supra-clavicular area.Ultrasound the neck presented normal thyroid and many lymph nodes, hypoechoic without hilus nodes (US image ).
Abdomen ultrasound scanning detected aorta elevated by hypoechoic mass, para-retro-aortic just prolonged to pelvis (US 1, US 2) and sonologist suggested lymphoma.
MSCT with CE for staging the mass nodes left supraclavicular, mediastinal, para aortic and inguinal area ( CT 1, CT2, CT3) = stage IV lymphoma.
Blood tests = high beta macroglobulin and ferritin.
Biopsy of supraclavicular node and its histo-immunochemistry stanning report was LYMPHOMA diffuse large B CELL.
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