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CASE 318:DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI

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CASE 318:DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI

  1. 1. CASE 318 : DIFFUSE LYMPHADENOPATHY, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM. Woman 56 yo low-grade fever for one month, swollen neck and left supra-clavicular area. Ultrasound the neck presented normal thyroid and many lymph nodes, hypoechoic without hilus nodes (US image ). Abdomen ultrasound scanning 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 left supraclavicular, mediastinal, para aortic and inguinal area ( CT 1, CT2, CT3) = stage IV lymphoma.
  2. 2. Blood tests = high beta macroglobulin and ferritin.
  3. 3. Biopsy of supraclavicular node and its histo-immunochemistry stanning report was LYMPHOMA diffuse large B CELL.

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