Mantle cell lymphoma: from ultrasound examination to histological diagnosis

We report the case of a 42-year-old patient referred to our department for the examination of two large, symmetrical inguinal lumps. The ultrasound examination of the swollen lymph node demonstrated a cortical echogenicity greater than the medullary echogenicity, and the vascularization stop around...

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Bibliographic Details
Published in:Journal of ultrasound 2018-12, Vol.21 (4), p.339-342
Main Authors: Cocco, G., Boccatonda, A., D’Ardes, D., Galletti, S., Schiavone, C.
Format: Article
Language:English
Subjects:
Adult
Case Report
Diagnosis
Diagnosis, Differential
Humans
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymphocytes
Lymphoma
Lymphoma, Mantle-Cell - diagnostic imaging
Lymphoma, Mantle-Cell - pathology
Mantle
Medicine
Medicine & Public Health
Thickening
Ultrasonic imaging
Ultrasonography
Ultrasound
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Description
Summary:We report the case of a 42-year-old patient referred to our department for the examination of two large, symmetrical inguinal lumps. The ultrasound examination of the swollen lymph node demonstrated a cortical echogenicity greater than the medullary echogenicity, and the vascularization stop around the cortical zone suggested a pathological pattern of mantle cell lymphoma. In this type of lymphoma, lymphocytes are localized in a mantle zone, inducing a thickening of the lumps. Therefore, for the first time, ultrasound examination detected sonographic vascular features of mantle cell lymphoma, allowing the identification of the disease and suggesting the specific histological diagnosis.
ISSN:1876-7931
1971-3495
1876-7931
DOI:10.1007/s40477-018-0318-1