Woman
33yo with pain in lower part of left maxillary bone for one month and tension in both 2 breats ( see photo), hyperpigmented edema of areolar area both 2 sides without pregnancy.
US scanning of
abdomen= big cervix of uterus, ascites and 2 ovarian solid tumors, size 5-7 cm (US 1, US 2).
US of mammary
scanning showed small
hypoechoic nodules infiltrating in 2 breasts without axillary node ( US 3-US 4).
US 5-US 6-US 7
= ABVS scanning detected multiple nodules infiltrating in 2 breasts.
- MRI full body with gado detected bone marrow changing, 2 breats hypercaptured contrast ( MRI 1), ascites and kidney infiltration ( MRI 2).
MRI 3 :
pelvis with 2 ovarian tumors and big uterine cervix (MRI 4).
Blood tests=
lower platelets, EGFR lower 46, beta2 microglobuline raised
3816, ferritine raised 911, LDH-l
raised 1360.
Based on clinical, imaging and blood tests suspected diffuse type lymphoma.
Biopsy of
2 breasts reported microscopic with IHC, beta cell lymphoma.
Summary =
Lymphoma stage 4 infiltration in 2
breasts and 2 ovaries for this case.
Patient died for 4 months and 20 days from the onset of her maxillary pain.
Reference:
Patient died for 4 months and 20 days from the onset of her maxillary pain.
Reference:
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