Case #3

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