Stage IV lymphoma

Case contributed by Dr Amr Farouk

Presentation

25-year-old female patient complaining of right breast and axillary masses

Patient Data

Age: 25 years old
Gender: Female
CT

Marked asymmetrical enlargement of the right breast with multiple heterogeneous parenchymal masses and ipsilateral enlarged axillary lymph nodes. Enlarged right internal mammary lymph nodes are seen.

Severely enlarged spleen with no focal lesions within.

Multiple discrete & amalgamated pathologically enlarged para-aortic and retrocrural lymph nodes.

Bilateral ovarian heterogeneously enhancing masses.

Mild ascites.

Diffuse heterogeneous osseous texture with L1 & L3 anterior vertebral wedging and left iliac bone osteolytic lesions.

Case Discussion

Supra- and infra-diaphragmatic lymphadenopathy with right breast masses, splenomegaly, ovarian masses and osseous involvement.

CT picture suggestive of stage IV lymphoma (Cotswolds-modified Ann Arbor classification).

True cut biopsy from the right breast masses showed non-Hodgkin's lymphoma.

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Case information

rID: 54730
Case created: 25th Jul 2017
Last edited: 8th Sep 2017
Inclusion in quiz mode: Included

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