Man 30 yo, detected 3 months ago submandibular
nodules, subcutaneous neck , no fever.
Ultrasound of the neck
US 1: normal thyroid , and subcutaneous nodule is round, black like a cyst .
US 2: Lymph nodes have the hilus.
US 3: CDI Hypervascular with the
vascular tree.
US 4: MP4 VIDEO
US 5: PW DOPPLER RI 0.56, PSV 46cm/S
US 6: ELASTOSCAN = 2
Clinical suspected lymph node lymphoma.
Blood test EBV IgG positive
118.5 UI/mL, IgM negative.
BETAMICROGLOBULINE IN BLOOD TEST IS LOWER = 1412 ( NORMAL CUT- OFF= 2164)
HISTOBIOCHEMYSTRY REPORT IS T-CELL LYMPHOMA
DISCUSSION= THE NODULE IS LYMPH NODE HAVING HILUS AND HYPOECHOIC LIKE CYST ; ELASTOSCAN IS VERY SOFT = 2 kPa LOOKED LIKE LYMPHOMA.
Structure of lymph node.
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