|Case 13 :|
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two masses - above the urinary bladder & in the left hypochondriac
region. Both masses were hypo echoic & show central echogenicity with
ring-down gas artifact (suggestive of gas). Barium
study showed mucosal irregularity with dilated ileum and
mass lesion. Similar lesion was seen in the proximal jejunum (pic not
Diagnosis of Lymphoma was suggested.
Excision biopsy of left inguinal node was performed.
Conclusion of Excision Biopsy
Diffuse non-Hodgkin's poorly differentiated lymphoblastic lymphoma, non-Burkitt type (Grade II ).
lymphoma often arises in young men, showing high rates around the 16-year
and 40-year age groups. In women, there is a more even distribution of
disease across all ages. Lymphoblastic lymphoma has several clinical
hallmarks, including the production of a mediastinal (middle chest) mass,
involvement of the bone marrow and central nervous system (CNS), and
"leukemia-like" characteristics similar to adult T-cell
leukemia/ lymphoma (T-ALL). But lymph node disease (lymphadenopathy)
prevails in lymphomblastic lymphoma, whereas peripheral blood changes
prevail in T-ALL. Lymphatic involvement usually occurs above the
diaphragm, affecting the nodes of the neck, collarbone, or underarms.