Open AccessIntramuscular lymphoma: uncommon presentation of Hodgkin’s disease
Author(s) -
Vijay Alexander,
Rachana Shenoy,
Anu Korula,
Maria Koshy
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229826
Subject(s) - medicine , hepatosplenomegaly , lymphoma , constitutional symptoms , biopsy , presentation (obstetrics) , lymph node biopsy , generalized lymphadenopathy , rare disease , axillary lymphadenopathy , pathology , abdomen , dermatology , disease , radiology , breast cancer , cancer
Extranodal presentation in lymphoproliferative disorders is a well-recognised entity. However, musculoskeletal involvement is extremely rare. We describe the case of a 64-year-old farmer who presented to us with constitutional symptoms of fever, loss of weight and loss of appetite for 2 years and physical examination revealing generalised lymphadenopathy with hepatosplenomegaly. Biopsy of an axillary lymph node showed mixed cellularity variant of Hodgkin's lymphoma. CT of the thorax and abdomen revealed a collection in the right psoas muscle. Guided biopsy of the psoas deposit was suggestive of Hodgkin's lymphoma. PCR and cultures for Mycobacterium tuberculosis tested negative. Here we describe a rare presentation of Hodgkin's lymphoma with intramuscular involvement.