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Friday 21 February 2014

CASE 236: LYMPHOMA MIMICKING PANCREATIC TUMOR and METASTASIZING LYMPH NODES in ABDOMEN and NECK, Dr LÊ THANH LIÊM - Dr LÝ VĂN PHÁI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

        58yo  male patient, slight fever  and  fatigue for 6 months, a lymph node on right neck getting bigger.  
           Lymph node at supraclavicular area was hypervascular and looked-like a cyst on color Doppler ultrasound. 

      Ultrasound  of abdomen detected epigastric tumor between left lobe of liver and pancreas, hypervascular and celiac vessels penetrating the tumor. Some nodes were  around the tumor, and body of pancreas not well-bordered. 







     Ultrasonologist thought about lymphoma infiltrating in abdominal cavity and neck,  but keepng a different diagnosis with pancreatic tumor metastasizing abdominal and neck lymph nodes.
       MSCT confirmed lymph nodes lymphoma in abdomen and no pancreas tumor but lower density of the body.


     FNAC of neck lymph node and the result was big B cell lymphoma. So this is another case of big B cell lymphoma with the evident of neck FNAC result.




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