A male patient 41 year-old with multiple cervical nodes and sore throat as tonsillitis.
Chest X-RAY notes left lung lesion.
Ultrasound detects many lymph nodes # 17-15-13 mm without nodal hilus, solid, hypoechoic on his neck and in the abdomen : at liver hilus :27mm, mesenteric, pelvic: 17-21 mm and a splenomegaly :141mm. Results of ultrasound notes a multiple lymph nodes in cervical, supraclavicular and abdominal region that leads to a diffuse lymphoma.
Biopsies of tonsils and pharyngeal cavum results are lymphoma infiltration without immunohistochemical staining.
ENT examinations results are many lesions of tonsils and oral cavity and Waldayer's ring.
Biopsy of right tonsil ulcer for ruling out cancer and immuohistochemical staining result is diffuse lymphoma type large B cell.
Patient goes through a chemotherapy planning for lymphoma. Cervical nodes reduce their sizes with effective management.
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