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Hamburger sign - lymphoma

Case contributed by Dr Ian Bickle


Retired dinner lady with progressive weight loss and fatigue.

Patient Data

Age: 74
Gender: Female

Huge volume conglomerate para-aortic and mesenteric lymphadenopathy, which is encircling the aorta and the visceral vessels.

Small left sided pleural effusion.

Case Discussion

The hamburger ( or sandwich ) sign describes the appearances of mesenteric +/- para-aortic nodal mass giving an appearance of a hamburger.

Confluent lymphadenopathy on both sides of the mesenteric vessels gives rise to an appearance which often encircles all vessels in the vicinity.

It is observed in lymphoma.  This was proven following an ultrasound guided biopsy from the left para-aortic component of the mass.

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Case information

rID: 34639
Published: 6th Mar 2015
Last edited: 14th Aug 2019
System: Haematology
Tag: rdgh
Inclusion in quiz mode: Included

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