CASE 318:DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI

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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.

Transcript of CASE 318:DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI

Page 1: CASE 318:DIFFUSE  LYMPHADENOPATHY, Dr PHAN THANH HẢI

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.

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Blood tests  =  high  beta macroglobulin and  ferritin.

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Biopsy of supraclavicular node   and  its histo-immunochemistry stanning  report was LYMPHOMA  diffuse  large B CELL.