A case of anaplastic large cell lymphoma: when you hear hoof beats, sometimes consider zebras, not horses | Zendy

Mark Andrew Sohatee | Zendy

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A case of anaplastic large cell lymphoma: when you hear hoof beats, sometimes consider zebras, not horses

Author(s) -

Mark Andrew Sohatee

Publication year - 2009

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.05.2009.1853

Subject(s) - medicine , lymphoma , anaplastic large cell lymphoma , chemotherapy , bone marrow , biopsy , etiology , abdominal pain , lymph node biopsy , bone marrow examination , surgery , radiology , pathology

A 22-year-old man presented with fever, lymphadenopathy and abdominal pain. With a travel history and considering the young age of the patient, an infective aetiology was thought most likely. Investigations yielded no evidence of infection. Given the increasing severity of the symptoms a neoplastic cause was subsequently considered. Following abdominal ultrasound and CT a lymph node and bone marrow biopsy were performed. These investigations revealed the diagnosis to be anaplastic large cell lymphoma. The patient consequently underwent a course of chemotherapy followed by a course of high-dose chemotherapy with an autologous bone marrow transplant.

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