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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).

Expand Physical Exam

08/12/XX

No lymphadenopathy.
HEENT: WNL
On admission, noted persistent elevated fever; greater than 38.5 °C.

Expand Imaging

08/12/-08/14/XX

Liver scan: negative
CXR: negative for masses
GI series: mass in jejunum
Barium enema: negative for abnormalities

Expand Endoscopy

Not done

Expand 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.

Expand Pathology

08/15/XX

Jejunal tissue: Diffuse large cell lymphoma (Working Formulation Group G)
Mesenteric lymph nodes: no evidence of tumor

Expand Treatment

08/15/XX

Surgery: Proximal jejunal resection