ArticleJournal of clinical and experimental hematopathology : JCEH2025
Magnetic resonance imaging findings of intravascular large B-cell lymphoma mimicking fasciitis of the thigh: A case report.
Article in Journal of clinical and experimental hematopathology : JCEH, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
A 65-year-old man presented with painful swelling and thickening of both lower limbs, initially responding to oral steroid treatment. However, the patient later developed similar symptoms, accompanied by general malaise. No abnormalities were detected upon fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography. Magnetic resonance imaging (MRI) showed extensive fascial edema in the thigh and gluteal regions, mimicking fasciitis. Concurrently, a bone marrow biopsy revealed intravascular large B-cell lymphoma (IVLBCL), a rare lymphoma with a generally poor prognosis. This case highlights the significance of fasciitis-like MRI findings in diagnosing IVLBCL, underscoring the need for integrating imaging and histological evaluations in atypical presentations.
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