BACKGROUND Discordant lymphoma is defined by the simultaneous presence of two or more distinct types of lymphomas at different anatomic sites. With fewer than 20 studies reporting cases of discordant lymphoma to date, the incidence of this condition is believed to be very low. CASE PRESENTATION Here, we report a case of discordant lymphoma in a 34-year-old female patient that involved mediast...

Lymphedema continues to be a very challenging clinical problem. While compression and physical therapy remain the foundation of treatment, recent advances in microsurgery super-microsurgery have allowed for development promising surgical options. One these options is vascularized lymph node transfer (VLNT), which has gained significant popularity over years. However, there no consensus on ideal...

background in the diagnosis of malignant lymph nodes (lns) and staging of lung cancer, sampling of mediastinal and hilar lns is essential. mediastinoscopy is known as the gold standard. convex probe (cp) endobronchial ultrasound (ebus)-guided transbronchial needle aspiration (tbna) is a noninvasive and highly sensitive diagnostic method in mediastinal and hilar ln sampling. objectives evaluatin...

lymph node dissection is of prime importance for accurate staging of colorectal carcinomas. since a great number of small lymph nodes are missed in the traditional method, several fat clearing solutions have been introduced for easier detection of smaller lymph nodes. in this study we evaluated the efficacy of a new fat clearing solution so-called lymph node revealing solution (lnrs) in colecto...

External compression of extracranial/mediastinal vessels has not been reported as an etiology of pulsatile tinnitus. We present a case in which compression of extracranial vasculature led to long term pulsatile tinnitus which resolved completely with surgical resection of metastatic lymph nodes. This should be included in the list of differential diagnoses when dealing with any patient with a c...

"Burned-out" testicular tumor is a rare clinical entity. The term "burned-out" actually represents a spontaneously and completely regressed testicular tumor that manifests itself by metastasis to retroperitoneal region and mediastinal, supraclavicular, cervical and axillary lymph nodes. This is a different entity than primary extragonadal testicular tumors and is seen more rarely. Here we prese...

A 77-year-old Japanese man living in Brazil for 70 years presented with a 6-month history of progressive dyspnea, weight loss (30 lb), low-grade fever, dry cough, and dry mouth. His medical history revealed hypertension and type 2 diabetes. He was a 40-pack-year ex-smoker and had worked in agriculture. Physical examination revealed bibasilar inspiratory crackles and enlarged (1 cm in diameter),...

We describe a patient with multiple myeloma, who initially responded to chemotherapy and went into remission. She presented 10 months later with a right breast lump which was confirmed by core biopsy to be a plasmacytoma. Further treatment with radiotherapy, thalidomide and later second line chemotherapy appeared unsuccessful and she showed rapid disease progression with rising paraproteins and...

background: the impact of positive intramammary lymph node (im ln) on the prognosis of patients with breast cancer has been debated for years; likewise, the standard management of patients with positive im ln remains unclear, especially when it is identified by preoperative imaging or by sentinel lymph node biopsy. the present study aims at reviewing the level of concurrent involvement of im ln...