Tag Archives: Lymphoma

Case 97 – Summary

Posted on 04/08/2018 by

This week we looked at a neuropathy presenting via the neurology team associated with a plasma cell dyscrasia. This area of haematology is often challenging! The diagnosis can be difficult and even after diagnosis there is a lack of evidence … Continue reading →

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Case 97 – update 3

Posted on 03/08/2018 by

Thanks for your help so far with this case. so far we know our patient is a 54 year old male who presented to clinic with distal sensory loss and a broad based gait which has been slowly progressing over … Continue reading →

Posted in Lymphoma, Myeloma/paraproteins, Related to other specialities | Tagged , , , , , , , , , ,

Case 95 – summary

Posted on 05/07/2018 by

Thankyou for all your help this week. This week we had a look at mantle cell lymphoma (MCL). MCL is a type of none Hodgkin’s lymphoma, and comprises between 3 and 10% of NHL, and often has features of both … Continue reading →

Posted in Chronic leukaemia, Laboratory morphology, Lymphoma | Tagged , ,

Case 95 – update 2

Posted on 04/07/2018 by

We have monitored our patient for a year. Unfortunately at his most recent appointment he has begun to complain of weight loss of 7kg, drenching night sweats and fatigue. What would you want to do next? Are there any investigations … Continue reading →

Posted in Chronic leukaemia, Lymphoma | Tagged , ,

Case 88 – part E

Posted on 09/02/2018 by

Last slide of the week. Spot diagnosis – patient presented with a vasculitis

Posted in Chronic leukaemia, Laboratory morphology, Lymphoma | Tagged , , ,

Case 69 – part 3 – summary

Posted on 21/12/2016 by

During this short case we looked at serum protein electrophoresis. This showed a band in the gamma region and immunofixation confirmed a IgM kappa paraprotein. IgM paraproteins are commonly associated with MGUS, low grade lymphoma and rarely myeloma. Typically IgM … Continue reading →

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Case 69 – part 3 – the beginning

Posted on 20/12/2016 by

Thanks for contributing! Please use #TeamHaem in your reply on Twitter!   A 69 year old gentleman presents to his GP with headache and visual blurring. Giant cell arteritis is suspected as the ESR is 120mm/hr. A serum protein electrophoresis … Continue reading →

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Case 65 – summary

Posted on 09/10/2016 by

Our case concentrated on presentation, investigation and management of DLBCL.   Case summary This 42 year old gentleman had presented with a history of B-symptoms and palpable lymphadenopathy.  Bloods tests revealed an acute kidney injury highlighting the need for urgent … Continue reading →

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Case 56 – Summary

Posted on 28/04/2016 by

This weeks case dealt with the presentation of a rare lymphoma. James was found to have an NK cell lymphoma of the sinuses with a single cervical lymph node. He had an IPI score of 0 and no other co-morbidity. … Continue reading →

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Case 56 – update 3

Posted on 27/04/2016 by

IPI score is calculated as 0 and there is evidence this may be prognostic to some extent in NK lymphomas. The MDT had no trials available so felt SMILE (Dexamethasone, methotrexate, Ifosfamide, L-Asparaginase and Etoposide) chemotherapy was a suitable option, … Continue reading →

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Case 56 – update 2

Posted on 26/04/2016 by

The biopsy shows an angiocentric distribution of atypical lymphoid cells penetrating the blood vessel walls.The immunophenotype shows CD2 +, Surface CD 3 -, Cytoplasmic CD3 + and CD 56 + cells. James’ biopsy confirms a diagnosis of Nasal NK/T cell … Continue reading →

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Case 56 – update 1

Posted on 25/04/2016 by

So far we have found out James has not been abroad, he is a lifelong non-smoker and has had no previous procedures. He has no past medical history and has no regular medications. Tests: Wcc 13, Hb 130, plt 260, … Continue reading →

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Case 56 – the beginning

Posted on 24/04/2016 by

James a 48 year old painter presents to his GP with facial pain over his right cheek and a blocked nose with rhinorrhoea. James is given antibiotics for probable sinusitis. Three weeks later his symptoms are worse; he has constant … Continue reading →

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Case 42 – summary

Posted on 28/07/2015 by

Thank you for all of your input! This time we looked at primary CNS lymphoma in an immunocompetent patient. Following 4 cycles of treatment with high dose methotrexate and cytarabine our patient had an excellent response on MRI. He went … Continue reading →

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Case 42 – update 2

Posted on 27/07/2015 by

Our patient was admitted under the medical team following development of left arm weakness, in addition to his left leg weakness. A ct head with contrast has shown an enhancing frontal lesion, with perilesional oedema. An urgent neurosurgical opinion is … Continue reading →

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case 42 – update 1

Posted on 26/07/2015 by

So we have a 47 year old gentleman. No past medical history. Works in telesales. He drinks 70 units of alcohol a week, for the last year. Doesn’t have a great diet, only occasionally eats vegetables. Lives alone, sees his … Continue reading →

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Case 42 – the beginning

Posted on 25/07/2015 by

Welcome to our new case! This week we start in a gp surgery. A 47 year old gentleman attends because he has been having some problems with his memory, he has also noticed that he has been slightly unsteady on … Continue reading →

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Case 38 – summary

Posted on 23/05/2015 by

Thank you for all your input this week!This case looked at a 32 year old gentleman who was diagnosed with burkitt lymphoma (BL) following a 3 week history of sweats, weight loss and an increasing abdominal mass and splenomegally. He … Continue reading →

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Case 38 – update 2 

Posted on 20/05/2015 by

We have some more results. Ct scan shows 19cm splenomegally. There is a large lymph node mass in the left iliac fossa measuring 11×12 cm, there is also other widespread large volume abdominal lymphadenopathy. There are a few 1cm groin … Continue reading →

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Case 38 – update 1

Posted on 19/05/2015 by

So what have we found out? We have a 32 year old male patient who has come back from a 2 year ’round the world’ trip 4/52 ago. He has travelled to Russia, China, India, Argentina, Kenya, Tanzania, Australia, Thailand … Continue reading →

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