Retroperitoneal lymphoma

Case contributed by Dr Ahmed Abd Rabou

Presentation

Progressive weight loss and abdominal distension.

Patient Data

Age: 27 years old
Gender: Male
CT

Large ill defined heterogeneous soft tissue mass is seen centered on the left posterior para renal space. It infiltrates the transversalis fascia, muscles of the posterior abdominal wall, infiltrates the left psoas muscle and medial aspect of the left kidney and displaces the left kidney forward and upward.The mass shows minimal enhancement with extensive central necrosis. Hepatosplenomegaly, adrenal gland enlargement and para aortic lymph nodes are other findings.

Case Discussion

Retroperitoneal neoplasms are usually large at the time of presentation due to delay in their diagnosis. Differential diagnosis for retroperitoneal mass includes retroperitoneal sarcoma either liposarcoma, leiomyosarcoma, rhabdomyosarcoma and MFH, retroperitoneal metastasis and retroperitoneal lymphoma. This lesion was biopsied and revealed Non-Hodgkin lymphoma.

PlayAdd to Share

Case information

rID: 33016
Case created: 26th Dec 2014
Last edited: 18th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.