Non-Hodgkin lymphoma involving the thigh

Case contributed by Dr Saeed Soltany Hosn

Presentation

A 60-year-old man presented with a lump in left upper thigh.The patient indicated that the lump had been present for two months.

Patient Data

Age: 60-year
Gender: Male
Modality: Photo

See below

Modality: Ultrasound

Transverse sonogram at the anterior aspect of the thigh shows a well-defined round mass which is apparently separate from muscle .Doppler interrogation demonstrates hypervascularity within the mass.

Modality: CT

Axial contrast enhanced CT demonstrates multiple well defined homogenous soft tissue masses in the retroperitoneal pelvic cavity as well as the upper part of the left thigh.There is encasement of the proximal part of the external iliac artery, but without evidence of osseous changes.No evidence of DVT. 

Case Discussion

Differential diagnosis includes primary and secondary tumors, such as :

Biopsy was performed with ultrasound guidance.
Histopathology confirmed diffuse large B-cell lymphoma.

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Case Information

rID: 21299
Case created: 14th Jan 2013
Last edited: 20th Feb 2016
Inclusion in quiz mode: Included

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