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SRU RESIDENT CASE Mantle Cell Lymphoma Presenting as a Subcutaneous Soft Tissue Mass With an Unusual Appearance Anjuli R. Cherukuri, MD, Vivek Kalia, MD, MPH, Norman V. Sturtevant, MD, and Kristen K. DeStigter, MD CLINICAL HISTORY The patient is a 61-year-old manwithamedicalhistory of hypertension who originally presented for an ultrasound of a right lower-back mass, which had been growing for 2 weeks. A magnetic resonance imaging (MRI) was initially recommended based on the ultrasound appearance. However, before the MRI was performed, he presented to the emergency department with flank pain and weight loss. Physical examination showed diffuse lymphadenopathy, and laboratory tests showed elevated creatinine. He underwent a computed tomography (CT) of the chest, abdomen, and pelvis (Figs. 1 and 2). DIAGNOSIS Mantle cell lymphoma (MCL). FIGURE 1. A, Gray-scale static transverse image of the right lateral lower-back mass demonstrates its macrolobulated DISCUSSION architecture. B, Color Doppler transverse ultrasound image of Mantle cell lymphoma is a malignant type of B-cell non- the right lower-back mass. C, Side-by-side comparison transverse static ultrasound images of the right lateral lower-back mass Hodgkin lymphoma (NHL). Mantle cell lymphoma is rare, 1–3 and comparable normal-appearing body region on the left. accounting for only 6% to
Ultrasound Quarterly – Wolters Kluwer Health
Published: Sep 1, 2017
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