CASE 318 : DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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case-318diffuse-lymphadenopathy

Woman  56 yo,  low-grade fever for  one month, with swollen neck and left  supraclavicular 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 supreclavicular, mediastinal,  para- aortic   and  inguinal area ( CT 1, CT2, CT3) =  stage IV  LYMPHOMA.

Blood tests  =   high  beta microglobulin and  ferritin.

Biopsy of supraclavicular node  and  its histo- immuno chemistry stainning  report was  LYMPHOMA  diffuse  large B CELL.