Extranodal lymphomas presenting as soft tissue sarcomas to a sarcoma service over a two-year period

O’Neill, Jennifer; Devaraj, V.S.; Silver, David; Sarsfield, P.; Stone, Christopher

doi:10.1016/j.bjps.2006.03.040

Cited by 18 publications

(31 citation statements)

References 11 publications

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“…Lymphomas can also involve any part of the musculoskeletal system and occasionally can manifest as a primary soft tissue mass that can be mistaken for infection or a soft tissue sarcoma [6-8]. Soft tissue lymphoma accounts for approximately 1% of malignant soft tissue neoplasms and are much more likely to present as non-Hodgkin’s lymphoma rather than Hodgkin’s lymphoma [3].…”

Section: Discussionmentioning

confidence: 99%

Large B-cell lymphoma mimicking iliopsoas abscess following open revision of proximal femur infected non-union: a case report

et al. 2014

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BackgroundExtranodal presentation of lymphoma is a rare occurrence. It has been postulated that chronic antigen stimulation may predispose a patient to the development of lymphoma.Case presentationWe present a case report of a large extranodal B-cell lymphoma mimicking a postoperative abscess following surgery for an infected proximal femur nonunion in an 80-year-old Caucasian male of Italian descent.ConclusionsThis case highlights the need to consider malignancy in revision surgery, careful examination of operative specimens and the need for further understanding of the role of metal implants in chronic antigen stimulation.

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Section: Discussionmentioning

confidence: 99%

Large B-cell lymphoma mimicking iliopsoas abscess following open revision of proximal femur infected non-union: a case report

et al. 2014

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“…Confl uent lymphadenopathy in adjacent nodal regions is also reported to be a distinguishing feature of lymphoma that is rare in sarcoma [ 80 ].…”

Section: Lymphoma/leukemia Lymphomamentioning

confidence: 98%

“…B-cell, T-cell, natural killer cell, and other types of non-Hodgkin lymphoma are most likely to present as a soft tissue mass; Hodgkin lymphoma is unlikely to do so [ 80 ]. The soft tissue mass often crosses fascial planes and surrounds, rather than displaces, adjacent vessels [ 81 ].…”

Section: Lymphoma/leukemia Lymphomamentioning

confidence: 98%

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Soft Tissue Masses

Roper

Stein-Wexler

2014

Pediatric Orthopedic Imaging

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The chapter is divided in two parts: the fi rst part discusses benign masses and the second addresses malignancies. Vascular lesions are discussed, differentiating between high-fl ow and low-fl ow lesions. Fatty lesions, neurofibromas, tumoral calcinosis, and myositis ossifi cans are described in detail, and hematomas, popliteal cysts, and other lesions are presented more briefl y. The following section on malignant masses focuses on sarcomas and other fi brous tumors. The discussion of sarcomas includes infantile fi brosarcoma, synovial sarcoma, rhabdomyosarcoma, lymphoma/leukemia, as well as lesions such as epithelioid sarcoma, granulocytic sarcoma, liposarcoma, extraskeletal Ewing sarcoma/osteosarcoma, and hemangiopericytoma.

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“…Multiple muscular masses were reported in 14 of 20 patients 4. However, clinical history, examination and MRI are insufficient to differentiate between sarcoma and primary muscle lymphoma 5. Accurate diagnosis requires pathological examination; core biopsy established the diagnosis with a sensitivity of 93% in one case series 2.…”

Section: Differential Diagnosismentioning

confidence: 99%

Primary abdominal muscle lymphoma

et al. 2013

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Primary skeletal muscle lymphoma accounts for <1% of all lymphomas; a fraction of these arise within the abdominal muscles. Here, we describe the case of an 84-year-old woman who presented with multiple painful abdominal masses that proved to be diffuse large B-cell lymphoma and we discuss the main features of the disease. Clinical differential diagnosis from soft tissue sarcoma can be extremely difficult. Therefore, accurate pathological diagnosis including optimal tissue processing and immunohistochemical staining is vital to ensuring proper treatment.

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Extranodal lymphomas presenting as soft tissue sarcomas to a sarcoma service over a two-year period

Cited by 18 publications

References 11 publications

Large B-cell lymphoma mimicking iliopsoas abscess following open revision of proximal femur infected non-union: a case report

Large B-cell lymphoma mimicking iliopsoas abscess following open revision of proximal femur infected non-union: a case report

Soft Tissue Masses

Primary abdominal muscle lymphoma

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