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Sunday 22 October 2017

CASE 458: PERIAORTIC LYMPHOMA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Man 77 yo with  renal  hydronephrosis  and  insufficiency, EGFR= 11 ml/mn.
US scanning of abdomen:
US 1, US 2=2 kidneys hydronephrosis  no stone.




US 3  crossed section of aorta: Periaortic  thickening  by  hypoechoic ring.


US 4  longitudinal  scan of  abdominal aorta.
US 5: CDI.
US  6 :  scan at aorta bifurcation, CDI   longitudinal  scanning of  aorta.





CT of abdomen non CE=
CT 1=2 kidneys  hydronephrosis.
CT 2  = frontal view,   aorta is covered by the mass.
CT 3 =sagittal view.






Blood test =  betamicroglobulin 12,577UI (n=2,164)  ferritin  621ng (n =400) 

SUMMARY: 

Suspected  periaortic retroperitoneum  lymphoma in  compression of ureter  to make renal insufficiency. Wait for biopsy of  the inguinal nodes for  histo immuno stainning.

Ultrasound scanning at left inguinal region  detected many hypoechoic, hypervascular lymph nodes  that were removed for biopsy.





THE  FINAL REPORT IS FOLLICULAR LYMPHOMA WITH HISTOIMMUNO STAINING.



REFERENCE : Xin xem ca 318.




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