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A 74-year-old man was admitted to the hospital because of recurrent lymphoma, with paraplegia.
Nine and a half years earlier, a computed tomographic (CT) scan of the head had shown a mass in the base of the tongue, with left cervical lymphadenopathy. Biopsy of the mass revealed follicular lymphoma, predominantly of the small-cleaved-cell type. Staging showed no evidence of lymphoma elsewhere. Radiation (4500 cGy) was administered, and an evaluation seven months later showed no evidence of disease.
Seven months before admission, hepatosplenomegaly, leukopenia, and thrombocytopenia were detected. A bone marrow biopsy showed B-cell blasts a finding compatible with the
Differential Diagnosis
Clinical Diagnosis
Dr. Jonathan M. Rosen's Diagnoses
Pathological Discussion
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References
Related Letters:
Case 23-1998: Fat Embolism
Bilgrami S., Hasson J., Tutschka P. J.
Extract |
Full Text
N Engl J Med 1999;
340:393-394, Feb 4, 1999.
Correspondence
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