Abstract

BORGES, Elisabete Pinto; PINHEIRO, Maria João  and  MOREIRA, Daniela. A case of mantle cell lymphoma. Rev Port Med Geral Fam [online]. 2015, vol.31, n.4, pp.267-270. ISSN 2182-5173.

Introduction: The non-Hodgkin's lymphomas are a diverse group of neoplasms of the lymphoreticular system. The diagnosis is often difficult. In this case report we present a rare type of lymphoma, with a rare form of presentation, in which the family doctor had an important role to play in collating clinical information to make the diagnosis. Case report: A 73-year-old man initially presented with supraorbital swelling and a complaint of pressure in the eye, without other symptoms. An ophthalmologist evaluated the patient and considered that the swelling arose from adipose tissue. After worsening of the orbital swelling and the appearance of swelling of the lips and cervical adenopathy, a lymphoproliferative disease was suspected. The patient was sent for an internal medicine consultation and the diagnosis of mantle cell lymphoma was made after excisional biopsy of a lymph node. Comment: This case shows some of the difficulty encountered in diagnosing a non-Hodgkin's lymphoma, given great variability in their presentations. Close follow-up of the patient during numerous consultations was essential to make the diagnosis of a lymphoproliferative disease.

Keywords : Lymphoma; Mantle Cell; Non-Hodgkin.

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