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CASE 318 : DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

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case-318diffuse-lymphadenopathy

Woman  56 yo  slowgraded  fever for  one month, swelling of the neck and left  supra clavicular area.
Ultrasound  the neckpresented   normal thyroid and  many lymph nodes  hypoechoic without  hilus nodes (US image )





Abdomen ultrasound scan detected  aorta  elevated  by  hypoechoic mass, para-retro aortic  just  prolonged to  pelvis (US 1, US 2) and sonologist  suggested  lymphoma.




MSCT  with CE  for  staging  the  mass  nodes   supreclavicular  left , mediastinal, para aortic   and  inguinal area..( CT 1, CT2, CT3) =  stage IV  LYMPHOMA




BLOOD TESTS  with  high  beta microglobuline and  ferritin.



Biopsy supraclavicular node   and  histo immuno chemistry  report were  LYMPHOMA  diffuse  large B CELL.



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