Retroperitoneal lymphoma

Case contributed by Dr Ahmed Abdrabou

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.

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Case information

rID: 33016
Published: 6th Apr 2015
Last edited: 16th Jul 2018
System: Urogenital
Inclusion in quiz mode: Included

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