Hi guys,
the first case I discussed a year ago with in one of the Q&A Sessions within the fellowship. He straight foreward said: Could be lymphoma. We came up with some DD's as well and recommended biopsy. Since this was just a single case I didn't do a FU and didn't got my handy on the histology report. Today I had a similar case again and was curious what happened to my patient last year - so I talked to the surgeon asking for the histology report. First patient was a confirmed case of diffuse large B-cell lymphoma. The patient from today turned out to have a known and currently treated mantle cell lymphoma. Since the rapidly progrentient swelling of the forearm in case 2 is develloping fast there will be a biopsy as well. Firstly to excluse a large median nerv neuroma and second to compare the cell clones in case of a mantle cell lymphoma of the forearm resistent to systemic therapy.
case 1: confirmed DLBCL
case 2: suspected case of mantle cell lymphoma, DD neurinoma
I hope you'll find these cases interesting as well and best wishes,
Max