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Thursday 25 February 2016

CASE 365: MULTIPLE INTRAMUSCULAR TUMORS, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.






Woman  60 yo being treated   lymphoma large B cell  stage IV by chemotherapy for 5 months.

One week ago she herself detected  many  subcutaneous nodules  palpable  at  forearm right and left, neck and  right parotid area, no painful.
 ULTRASOUND=
US 1=tumor  intramuscular right  forearm, round  border, very  low echo density.


US 2=cross-section, lesion at forearm.

US 3=CDI  Doppler vascular  structure of this mass, hypervascular.


US 4=longitudinal scanning   with  CDI.


US 5=CDI with PW,   RI = 0,70.


US 6 = small intramuscular nodule  at posterior of  neck.


US 7= SWE of mass in right  parotid.


Do you thing  it is lymphoma  in muscle?  
Biopsy of this mass  is large  B cell lymphoma, same as  result pre-treatment.





Conclusion: LYMPHOMA  LARGE B CELL  AT THE DIFFUSE STAGE  CAN MAKE  MULTIPLE NODULES  IN MUSCLES.
Reference:

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