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From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report

Primary soft-tissue extranodal lymphomas are rare clinical entities. By their natures, they can cause significant swelling around the affected extremities, and they can be easily misdiagnosed with other conditions like sarcomas. We share an unfortunate experience of a young male patient who was admi...

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Autor principal: Askar, Ahmet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500239/
https://www.ncbi.nlm.nih.gov/pubmed/37719250
http://dx.doi.org/10.14744/nci.2022.24650
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author Askar, Ahmet
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description Primary soft-tissue extranodal lymphomas are rare clinical entities. By their natures, they can cause significant swelling around the affected extremities, and they can be easily misdiagnosed with other conditions like sarcomas. We share an unfortunate experience of a young male patient who was admitted to another clinic with complaints of a large mass in his right thigh, the patient has been diagnosed with anaplastic pleomorphic sarcoma, and he was scheduled for surgery. The patient refused the operation and was admitted to our emergency clinic with an open wound on his right thigh. Successful open wound management was achieved with antibiotic therapy, tissue debridement, larvae therapy, and Vacuum-assisted closure. Meanwhile, the pathologic re-examination revealed diffuse large B-cell lymphoma. After an uneventful follow-up, the patient was referred to the hematology clinic. This case highlights the importance of considering alternative diagnoses before making surgical intervention decisions that may result in unpleasing consequences.
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spelling pubmed-105002392023-09-15 From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report Askar, Ahmet North Clin Istanb Case Report Primary soft-tissue extranodal lymphomas are rare clinical entities. By their natures, they can cause significant swelling around the affected extremities, and they can be easily misdiagnosed with other conditions like sarcomas. We share an unfortunate experience of a young male patient who was admitted to another clinic with complaints of a large mass in his right thigh, the patient has been diagnosed with anaplastic pleomorphic sarcoma, and he was scheduled for surgery. The patient refused the operation and was admitted to our emergency clinic with an open wound on his right thigh. Successful open wound management was achieved with antibiotic therapy, tissue debridement, larvae therapy, and Vacuum-assisted closure. Meanwhile, the pathologic re-examination revealed diffuse large B-cell lymphoma. After an uneventful follow-up, the patient was referred to the hematology clinic. This case highlights the importance of considering alternative diagnoses before making surgical intervention decisions that may result in unpleasing consequences. Kare Publishing 2023-07-31 /pmc/articles/PMC10500239/ /pubmed/37719250 http://dx.doi.org/10.14744/nci.2022.24650 Text en © Copyright 2023 by Istanbul Provincial Directorate of Health https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Case Report
Askar, Ahmet
From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title_full From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title_fullStr From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title_full_unstemmed From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title_short From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report
title_sort from open wound treatment to primary soft-tissue non-hodgkin lymphoma diagnosis; a challenging case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500239/
https://www.ncbi.nlm.nih.gov/pubmed/37719250
http://dx.doi.org/10.14744/nci.2022.24650
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