RT Book, Section
A1 Hillman, Robert S.
A1 Ault, Kenneth A.
A1 Leporrier, Michel
A1 Rinder, Henry M.
SR Print(0)
ID 1127767644
T1 NON-HODGKIN LYMPHOMAS
T2 Hematology in Clinical Practice, 5e
YR 2016
FD 2016
PB McGraw-Hill Medical
PP New York, NY
SN 9780071626996
LK hemonc.mhmedical.com/content.aspx?aid=1127767644
RD 2024/04/20
AB CASE  HISTORY  •  Part  1A  46-year-old  man  seeks  evaluation  of  a  non-tender  mass  that  he  recently  discovered  in  his  left  axilla.  He  notes  that  it  seems  to  have  been  enlarging  rapidly  over  the  past  3  weeks.  He  is  otherwise  feeling  well,  with  no  weight  loss,  fever,  or  chills,  and  has  no  significant  past  medical  history,  nor  any  family  history  of  hematologic  disease.On  examination,  in  addition  to  the  5–6  cm  mass  that  the  patient  noted,  multiple  1-  to  2-cm  lymph  nodes  are  found  in  both  axillae  and  in  the  cervical  region.  All  of  these  are  non-tender,  mobile,  and  rubbery  in  texture.  There  is  no  hepatosplenomegaly  or  palpable  abdominal  masses;  the  only  other  finding  of  significance  is  the  presence  of  mild  bilateral  pitting  edema  in  the  lower  extremities.The  patient's  complete  blood  count  (CBC)  is  entirely  normal;  no  abnormal  cells  are  noted  on  examination  of  the  blood  smear.QuestionWhat  diagnostic  procedures  are  indicated?