oft-tissue lymphoma in the ankle

a case report

Authors

  • Francisco de Assis Serra Baima Filho Faculdade de Medicina de São José do Rio Preto
  • Valter Penna Faculdade de Medicina de São José do Rio Preto
  • Osvaldo José de Conti Faculdade de Medicina de São José do Rio Preto
  • Ignácio Helencar Faculdade de Medicina de São José do Rio Preto
  • Márcio Gomes Figueiredo Faculdade de Medicina de São José do Rio Preto
  • Daniel Martins Meucci Faculdade de Medicina de São José do Rio Preto
  • Gabriel Furlan Margato Faculdade de Medicina de São José do Rio Preto

Keywords:

Lymphoma, Neoplasms, connective and soft-tissue, Ankle joint/pathology, Soft tissue neoplasm, Case reports

Abstract

The lymphoid neoplasms are divided into three categories: Hodgkin’s lymphomas, non-Hodgkin’s lymphomas and plasma cell neoplasms. Primary muscle lymphoma is a rare disease that usually affects the lower limbs. The non-Hodgkin’s lymphoma (NHL) large cell type B is especially the most common lymphoma. Clinical examination is nonspecific and the differential diagnosis includes tumors, hematomas or infections. Imaging tests such as ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) are not conclusive, thus the biopsy is necessary for the final diagnosis. This reported case is a 16-year old boy with a history of volume increase in the soft tissue of the left ankle, with pain on efforts. Radiographs were performed, which showed roughly oval image, radio-transparent in the medial aspect of the cortical of the distal third of the left tibia with sclerotic edges, and the presence of expansive lesion of regular and well-defined contours was observed in the left ankle by the RMI. After biopsy performed, anatomopathological examination showed non-Hodgkin’s lymphoma of large cell type B, infiltrating the fibro-fatty tissue. Immunohistochemistry revealed expression for TdT, CD18, PAX5 and CD20, confirming the diagnosis. Afterwards, the patient was referred to the Hematology team, and underwent Hyper-CVAD Chemotherapy regimen.

Author Biographies

Francisco de Assis Serra Baima Filho, Faculdade de Medicina de São José do Rio Preto

Programa de Residência em Oncologia Ortopédica.

Valter Penna, Faculdade de Medicina de São José do Rio Preto

Programa de Residência em Oncologia Ortopédica.

Osvaldo José de Conti, Faculdade de Medicina de São José do Rio Preto

Programa de Residência em Oncologia Ortopédica.

Ignácio Helencar, Faculdade de Medicina de São José do Rio Preto

Grupo do Pé e Tornozelo, Departamento de Ortopedia e Traumatologia.

Márcio Gomes Figueiredo, Faculdade de Medicina de São José do Rio Preto

Grupo do Pé e Tornozelo, Departamento de Ortopedia e Traumatologia.

Daniel Martins Meucci, Faculdade de Medicina de São José do Rio Preto

Programa de Residência em Ortopedia e Traumatologia, Departamento de Ortopedia e Traumatologia.

Gabriel Furlan Margato, Faculdade de Medicina de São José do Rio Preto

Programa de Residência em Ortopedia e Traumatologia, Departamento de Ortopedia e Traumatologia.

Published

2015-12-12

How to Cite

Baima Filho, F. de A. S., Penna, V., de Conti, O. J., Helencar, I., Figueiredo, M. G., Meucci, D. M., & Margato, G. F. (2015). oft-tissue lymphoma in the ankle: a case report. Tobillo Y Pie, 7(2), 143–146. Retrieved from https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1484

Issue

Section

Case Report