Weekly Case

Title : case 216

Age / Sex : 69 / M



Age / Sex :M/69


Chief complaint :Left knee pain



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1) What is your impression?


Two weeks later, you can see the final diagnosis with a brief discussion of this case.


* Send Application Answers to In Sook Lee, MD (lis@pusan.ac.kr)


Courtesy : Young Cheol Yoon, Samsung Medical Center


 


Diagnosis:

Extranodal involvement of NK/T-CELL LYMPHOMA



Discussion



Findings:


Plain radiography : no abnormal finding.


Whole body bone scan : Heterogeneous mild radioactive uptake in the left distal femur.


Knee MRI : Peripherally enhacing several intramedullary lesions in left distal femur and proximal tibia with extraosseous soft tissue mass formation is noted. Cortical bone destruction is not demonstrated.


 


Differential Diagnosis: small round cell tumor (lymphoma)


Diagnosis: Extranodal involvement of NK/T-CELL LYMPHOMA was proven on US-guided biopsy for soft tissue mass.


case 182 review 참고


 


 





Correct Answer
Name Institution
total applicants 11
correct answer 6
이승훈 한양대병원
이상희 삼성서울병원
지숙경 삼성서울병원
정진영 삼성서울병원
최희석 부평세림병원
김혜린 삼성서욻
semi-correct answer 1
박희진 강북삼성병원

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