摘要
Introduction: The primary localization of non-Hodgkin lymphoma of the muscle is rare. Only the biopsy allows the certainty diagnosis. The aim was to report a first case of small cell lymphoma of the gastrocnemius in Mali and to do a review of the literature. Clinical Observation: It was about a 34-year-old woman who consulted 3 months after the onset of symptoms for swelling and pain in the left calf. On clinical examination there was a hard, painful and warm mass in the left calf, with paresthesias in the tibial nerve territory associated with partial functional impotence of the leg. The ultrasound revealed a hyper echogenic and heterogeneous non-vascularized mass of the left gastrocnemius muscle measuring 65 × 45 × 40 mm non-vascularized on color Doppler and pulsed in favor of myositis. Magnetic resonance imaging (MRI) concluded in a well-limited heterogeneous cystic mass in the left gastrocnemius muscle respecting the bone of benign appearance: remodeled Baker’s cyst? Considering the radioclinical unconformity, thoraco-abdominal CT was performed and revealed pulmonary metastasis. The biopsy carried out concluded with a small cell lymphoma of the gastrocnemial muscle. Marginal resection was performed associated with adjuvant chemotherapy. The advancement at 9 months was satisfactory.
Introduction: The primary localization of non-Hodgkin lymphoma of the muscle is rare. Only the biopsy allows the certainty diagnosis. The aim was to report a first case of small cell lymphoma of the gastrocnemius in Mali and to do a review of the literature. Clinical Observation: It was about a 34-year-old woman who consulted 3 months after the onset of symptoms for swelling and pain in the left calf. On clinical examination there was a hard, painful and warm mass in the left calf, with paresthesias in the tibial nerve territory associated with partial functional impotence of the leg. The ultrasound revealed a hyper echogenic and heterogeneous non-vascularized mass of the left gastrocnemius muscle measuring 65 × 45 × 40 mm non-vascularized on color Doppler and pulsed in favor of myositis. Magnetic resonance imaging (MRI) concluded in a well-limited heterogeneous cystic mass in the left gastrocnemius muscle respecting the bone of benign appearance: remodeled Baker’s cyst? Considering the radioclinical unconformity, thoraco-abdominal CT was performed and revealed pulmonary metastasis. The biopsy carried out concluded with a small cell lymphoma of the gastrocnemial muscle. Marginal resection was performed associated with adjuvant chemotherapy. The advancement at 9 months was satisfactory.
作者
Abdoul Kadri Moussa
Layes Touré
Kalifa Coulibaly
Mahamadou Diallo
Mamadou Bassirou Traoré
Cheick Oumar Sanogo
Laurent Désiré Ndzié Essomba
Madani Ly
Aboubacar Sidiki Ndiaye
Safiatou A. Touré
Bakarou Kamaté
Abdoul Kadri Moussa;Layes Touré;Kalifa Coulibaly;Mahamadou Diallo;Mamadou Bassirou Traoré;Cheick Oumar Sanogo;Laurent Désiré Ndzié Essomba;Madani Ly;Aboubacar Sidiki Ndiaye;Safiatou A. Touré;Bakarou Kamaté(Orthopedics-Traumatology Department, Gabriel Touré University Hospital, Bamako, Mali;Orthopedics-Traumatology Department of Sikasso’s University Hospital, Sikasso, Mali;Orthopedics-Traumatology Department of Kati’s University Hospital, Kati, Mali;Medical Oncology Department of Mother-Child Luxembourg University Hospital, Bamako, Mali;Medical Imaging Service, Faculty of Medicine and Odontostomatology, Bamako, Mali;Anatomy-Cytology-Pathology Department of the Point G University Hospital, Bamako, Mali)
