Presentation
Bilateral cervical and pelvic painless palpable mass on physical exam.
Patient Data
Age: 70 years
Gender: Female
From the case:
Hodgkin lymphoma
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Multiple para-aortocaval and mesenteric enlarged lymph nodes are seen that surround but do not occlude the mesenteric vessels and displace bowel loops.
Additionally, multiple enlarged lymph nodes are present in bilateral para-iliac regions that compress the urinary bladder and displace the bowel loops. Several inguinal enlarged lymph nodes are also evident on both sides.
The spleen is markedly enlarged, and its cephalocaudal height measured 215 mm.
Case Discussion
Multiple mediastinal, para-aortocaval, mesenteric, para-iliac and inguinal lymphadenopathy with huge splenomegaly in a pathology-proven case of Hodgkin lymphoma.