Subject(s)
Breast Neoplasms/secondary , Hand/pathology , Rhabdomyosarcoma/diagnostic imaging , Rhabdomyosarcoma/pathology , Adolescent , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Female , Hand/diagnostic imaging , Humans , Magnetic Resonance Imaging , Positron Emission Tomography Computed Tomography , Ultrasonography, MammaryABSTRACT
Neurolymphomatosis is a rare neurological syndrome in lymphomas. It is reported as infiltration of peripheral nerves by lymphoma. It is important to distinguish neurolymphomatosis from other types of neuropathies, particularly infectious and inflammatory conditions. However, it is difficult to isolate a cancer-related inflammatory vasculitis and mononeuritis multiplex without definitive histopathologic examination. In this report, we describe a case of non-Hodgkin's lymphoma involving the peroneal nerve and presenting as neurolymphomatosis.
Subject(s)
Lymphoma, Non-Hodgkin/pathology , Peroneal Nerve/pathology , Aged , Animals , Female , Fluorodeoxyglucose F18 , Humans , Lymphoma, Non-Hodgkin/diagnostic imaging , Magnetic Resonance Imaging , Neoplasm Invasiveness , Peroneal Nerve/diagnostic imaging , Positron Emission Tomography Computed Tomography , RadiopharmaceuticalsABSTRACT
Plasmablastic lymphoma is a variant of diffuse large B-cell lymphoma, characterized by rapid progression and is associated with a poor outcome. We report a 35-year-old male with poorly controlled HIV infection and AIDS who presented with skin lesions and swelling throughout the body. Computed tomography (CT) revealed innumerable enhancing soft tissue masses within the subcutaneous soft tissues and lymphadenopathy. Plasmablastic lymphoma was diagnosed, patient was treated with chemotherapy, and post treatment CT demonstrated complete resolution. Imaging plays a key role in the diagnosis and surveillance of this disease.
Subject(s)
Acquired Immunodeficiency Syndrome/complications , Plasmablastic Lymphoma , Skin Neoplasms , Skin , Adult , Antineoplastic Combined Chemotherapy Protocols , HIV Infections/complications , Humans , Lymphoma, AIDS-Related/diagnosis , Lymphoma, AIDS-Related/diagnostic imaging , Lymphoma, AIDS-Related/drug therapy , Lymphoma, Large B-Cell, Diffuse , Male , Plasmablastic Lymphoma/diagnostic imaging , Plasmablastic Lymphoma/drug therapy , Plasmablastic Lymphoma/etiology , Remission Induction , Skin/diagnostic imaging , Skin/pathology , Skin Neoplasms/diagnostic imaging , Skin Neoplasms/drug therapy , Skin Neoplasms/etiology , Tomography, X-Ray Computed/methodsABSTRACT
In patients with portal hypertension, bleeding from rectal varices is rare. However, it can be life-threatening. We report a case of massive bleeding from large rectal varices in a 59-year-old man with alcoholic cirrhosis. Emergent transjugular intrahepatic portosystemic shunt (TIPS) placement was performed following failed local endoscopic therapy. Despite normalization of the portosystemic pressure gradient, the patient had another episode of massive bleeding on the following day. Embolization of the rectal varices via TIPS successfully stopped the bleeding. After the procedure, rapid decompensation of the cirrhosis led to severe encephalopathy, and death was observed. Although TIPSs have been reported to be useful in controlling bleeding from rectal varices, our case illustrates the potential pitfalls in using this technique in the treatment of rectal variceal bleeding. TIPSs may not be always successful in controlling massive bleeding from large rectal varices, even after normalization of portal hypertension. TIPSs can also be associated with life-threatening complications that may lead to early mortality.
