CASE 318:DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI

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hungnguyenthien

Health & Medicine

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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