58yo male patient, slight fever and fatigue for 6 months, a lymph node on right neck getting bigger.
Lymph node at supraclavicular area was hypervascular and looked-like a cyst on color Doppler ultrasound.
Ultrasound of abdomen detected epigastric tumor between left lobe of liver and pancreas, hypervascular and celiac vessels penetrating the tumor. Some nodes were around the tumor, and body of pancreas not well-bordered.
Ultrasonologist thought about lymphoma infiltrating in abdominal cavity and neck, but keepng a different diagnosis with pancreatic tumor metastasizing abdominal and neck lymph nodes.
Ultrasound of abdomen detected epigastric tumor between left lobe of liver and pancreas, hypervascular and celiac vessels penetrating the tumor. Some nodes were around the tumor, and body of pancreas not well-bordered.
Ultrasonologist thought about lymphoma infiltrating in abdominal cavity and neck, but keepng a different diagnosis with pancreatic tumor metastasizing abdominal and neck lymph nodes.
MSCT confirmed lymph nodes lymphoma in abdomen and no pancreas tumor but lower density of the body.
FNAC of neck lymph node and the result was big B cell lymphoma. So this is another case of big B cell lymphoma with the evident of neck FNAC result.
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