Non-Hodgkin's Lymphoma: An Unusual Cause of Shoulder Pain.

Autor: Yeak RDK; Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS., Yap YY; Department of Haematology, Ampang Hospital, Ampang, MYS., Nizlan NM; Department of Orthopaedic Surgery, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, MYS.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Mar 22; Vol. 15 (3), pp. e36501. Date of Electronic Publication: 2023 Mar 22 (Print Publication: 2023).
DOI: 10.7759/cureus.36501
Abstrakt: Shoulder pain is a common complaint seen in the orthopedic clinic. Here, we report a rare case of primary extranodal ileocecal with exceedingly rare right shoulder deltoid non-Hodgkin's lymphoma (NHL). A 67-year-old female presented with abdominal swelling for four months associated with loss of appetite, loss of weight, and night sweats. Abdominal contrast-enhanced CT and cecal biopsy confirmed the diagnosis of ileocecal NHL. A right hemicolectomy was performed, and the patient completed six cycles of chemotherapy. The patient developed right shoulder pain with swelling three months later and was diagnosed with a relapse ileocecal lymphoma with dissemination to the right deltoid muscle after a repeat positron emission tomography scan. Clinicians need to consider NHL as a differential diagnosis in evaluating shoulder pain or swelling even though it is exceedingly rare. A partial or non-response to chemotherapy with dissemination to skeletal muscle carries a poor prognosis.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Yeak et al.)
Databáze: MEDLINE