Woman
21 yo with headache, blurred vision and protrusion of frontal area of face (see photo)
for 3 months.
Ultrasound
of frontal area and eyes detected hypoechoic and hypervascular mass which made destruction
the frontal bone, but the orbit remains intact, while periorbital part
was infiltrated by a hypoechoic structure ( US 1, US 2, US 3).
MRI of the brain and cervical column revealed no intracerebral tumor and the cervical bone changing structure but not destruction. There
is erosion of frontal bone with mass under skin of the frontal area.
Blood
test showed very high beta 2 microglobulin.
Suggestion
for this case is multiple lymphoma with infiltrating of frontal area.
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