SEER Training Modules
Case #3
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30-year-old female complaining of irregular bouts of abdominal pain. Patient had lost 20 pounds without trying (usual weight 150).
Physical Exam
08/12/XX
No lymphadenopathy.
HEENT: WNL
On admission, noted persistent elevated fever; greater than 38.5 °C.
Imaging
08/12/-08/14/XX
Liver scan: negative
CXR: negative for masses
GI series: mass in jejunum
Barium enema: negative for abnormalities
Endoscopy
Not done
Operation
08/15/XX
Abdominal exploration, proximal jejunal resection: No regional lymph node involvement. 7 cm mass involving small bowel. Liver and spleen appeared free of disease.
Pathology
08/15/XX
Jejunal tissue: Diffuse large cell lymphoma (Working Formulation Group G)
Mesenteric lymph nodes: no evidence of tumor
Treatment
08/15/XX
Surgery: Proximal jejunal resection
