The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
PreviousPrevious
Volume 339:254-261 July 23, 1998 Number 4
NextNext

Case 23-1998— Tachypnea, Changed Mental Status, and Pancytopenia in an Elderly Man with Treated Lymphoma
Jonathan M. Rosen, and Eugene J. Mark

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-Purchase this article

Commentary
-Letters

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited

More Information
-PubMed Citation
Presentation of Case

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 . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jonathan M. Rosen's Diagnoses

Pathological Discussion

Anatomical Diagnoses

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

This article has been cited by other articles:



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.