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A rare case of primary muscular non-Hodgkin's lymphoma and a review of how imaging can assist in its diagnosis

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Singapore Med J 2013; 54(9): e179-182; http://dx.doi.org/10.11622/smedj.2013179
A rare case of primary muscular non-Hodgkin's lymphoma and a review of how imaging can assist in its diagnosis

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Hongsakul K, Laohawiriyakamol T, Kayasut K
Correspondence: Dr Hongsakul Keerati, keerati.hongsakul@gmail.com

ABSTRACT
Primary malignant non-Hodgkin’s lymphoma of the muscle is rare. Currently, imaging tools are necessary to enable its diagnosis. Herein, we report the case of a patient who presented with swelling and pain in the right thigh and pelvis. Computed tomography findings revealed isodense masses in the patient’s right thigh and left iliacus muscle, leading to the initial diagnosis of either primary muscular lymphoma or soft tissue sarcoma. Further investigation with magnetic resonance imaging was done, and a biopsy was performed. The ensuing histological diagnosis was that of diffuse large B-cell lymphoma. 

Keywords: primary, muscular lymphoma, imaging, diagnosis
Singapore Med J 2013; 54(9): e179-182; http://dx.doi.org/10.11622/smedj.2013179

http://smj.org.sg/sites/default/files/5409/5409cr2.pdf

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