Monday, December 9, 2019

What would your DDx be? Is this neoplastic, infectious or inflammatory? What would you biopsy?
Can leukemia / lymphoma infiltrate the tendon sheath like this? Would you consider sarcoid? Other?

Femoral lymphadenopathy
Subcutaneous, intermuscular and intramuscular edema

Adenopathy with subcutaneous and intramuscular edema

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1 comment:

  1. Hilary UmansDecember 9, 2019 at 2:06 PM

    There have been many suggestions. Everyone thinks this is neoplasm. Most favor lymphoma...someone said they saw a very similar presentation in the ECU tendon sheath and recommended PET. Additional suggestions incl. Kaposi, Synovial Sarcoma, Rhabdomyosarcoma, Epithelioid sarcoma. TBD---he has been admitted and I understand that the plan is to biopsy the groin lymph node. Thanks for your help.

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