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Case #1

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64-year-old female with 1 week of swelling, right leg. Swelling resolves after lying down at night. No other symptoms.

Expand Physical Exam

05/20/XX

Abdominal mass on pelvic exam.

Expand Imaging

05/25/XX

Barium enema prior to admission: negative for colon mass IVP: right pelvic mass

05/20/XX

CXR: negative for masses

Expand Endoscopy

Not done

Expand Operation

06/01/XX

Abdominal exploration, omentectomy, TAH and BSO, dissection of L iliac nodes: Atrophic uterus; lymphoma of the left iliac lymph nodes, dissected and resected; liver and spleen appeared free of disease.

Expand Pathology

06/01/XX

Iliac lymph nodes: Follicular, small cleaved cell lymphoma
Inguinal lymph nodes: no evidence of tumor
Uterus: atrophic
Tubes and ovaries: serosal adhesions; no tumor

06/09/XX

Bone marrow aspiration biopsy: Follicular, small cleaved cell lymphoma infiltrating the bone marrow.

Expand Treatment

06/14/XX

Started Rituxan with Cytoxan, vincristine, and prednisone (R-CVP regimen)