Date post: | 03-Aug-2015 |
Category: |
Health & Medicine |
Upload: | hungnguyenthien |
View: | 15 times |
Download: | 2 times |
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.