CASE 624: RIGHT PSOAS LYMPHOMA, Dr PHAN THANH HẢI, Dr LÝ VĂN PHÁI, Dr ĐẶNG VINH PHÚC, Dr VÕ NGUYỄN THÀNH NHÂN MEDIC MEDICAL CENTER, HCMC VIETNAM

Female patient 51 yo with right leg pain  and lumbago for 3 months

Lumbar spine X-Rays was normal.

Ultrasound detected  right psoas muscle poor echogeneicity like cystis pattern, no vascular, but bending aorta and right iliac artery.

Blood tests>  WBC, CRP were normal values, Beta2 Microglobuline, LDH, Ferritine were normal levels.

MSCT with CE= Paravertebral mass on right site, very high enhancement, deplaced iliac artery and infiltrating right psoas muscle.

MRI with Gado= Solid mass was enrounded right psoas muscle and deplaced  right iliac artery. The tumor invaded spinal canal. Radiologist suggested retroperitoneal lymphoma.

Contrast MRI got down in urinary bladder and imaging an interesting picture of a camel like. inside urinary bladder.

Biopsy was done and result of immunohistochemistry was lymphoma B small cell.