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Follicular lymphoma nodal case
presentation
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45 year old train driver with a family history of aortic aneurysm rupture and
therefore went to have a screening ultrasound - a mass around the abdominal
aorta which was initially thought to be a saccular aneurysm but further
assessment revealed it to be a distinct mass.
•
Tru cut USS guided biopsy follicular lymphoma grade 1-2
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Well and asymptomatic – No B symptoms.
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Past medical history - Nil significant
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Examination Looks well ECOG 0. Weight 107.65kg. Height 187.3cm. Ill defined
pulsatile abdominal mass palpable on deep palpation No palpable
lymphadenopathy
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MRI of his abdomen which shows a left para-aortic solid lesion closely applied to
the left side of the aorta. Dimensions are 65 x 59 mm in the axial plane and 92 mm
craniocaudal extent.
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Ultrasound testes: no testicular abnormality.