Emergency Medicine: Open Access
Open Access
ISSN: 2165-7548
ISSN: 2165-7548
Department of Emergency Medicine, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
Case Report
Rare Presentation of Diffuse Large B-Cell Lymphoma in a Young Woman with a Newly Found Mediastinal Mass
Author(s): Chiung-Chang Liu*, Wei-Cheng Wen and Kuang-Yu Niu
Mediastinal widening on chest radiography is a concerning sign in patients visiting the emergency room. Among young patients, the most common cause of mediastinal widening is that of a tumorous origin. Here we present the case of a 29-year-old woman who presented to the emergency room with a chief complaint of dry cough for 2 months. Chest radiography revealed mediastinal widening and bilateral pleural effusion. Contrast-enhanced computed tomography of the chest revealed a huge heterogeneous anterior mediastinal mass with hilar and subcarinal extension. The patient was admitted to the internal medicine ward and she underwent ultrasound-guided pleurocentesis. Pleural fluid analysis revealed an exudative characteristic; however, pleural fluid bacterial culture and tuberculosis culture were negative. The patient underwent excisional biopsy of the right neck lymph node, and the pathology .. View More»
DOI:
10.35248/2165-7548.14.305