以雙側淋巴腫塊為初期表現之被套細胞淋巴瘤

林奇柏、石宏仁、林介山、張進寶、王百孚、嚴孟意、黃勝賢、陳俊吉、江恆杰、張建祥、
陳柏華、陳一中、潘岳

彰化基督教醫院泌尿外科

Mantle Cell Lymphoma Initial Presenting as Bilateral Inguinal Mass

Chi-Bo Lin, Hung-Jen Shih, Jesun Lin, Chang-Pao Chang, Bai-Fu Wang, Meng-Yi Yan, Sheng-Hsien Huang, Chun-Chi Chen, Herng-Jye Jiang, Jian-Xiang Zhang, Pao-Hwa Chen, Yi-Zhong Chen, Pan Yueh

Division of Urology, Department of Surgery, Changhua Christian Hospital

  Mantle cell lymphoma is a rare subtype of B-cell non-Hodgkin lymphomas, representing about 6–8% of adult non-Hodgkin lymphoma, typically presenting with extensive lymphadenopathy, bone marrow involvement, and splenomegaly. Extra-nodal sites can also be involved. We present a case of mantle cell lymphoma initial presented with a 2 months history of non-tender bilateral inguinal mass.

A 66-year-old male patient with history of prostate enlargement with medical control. He presented with 2 months history of non-tender bilateral inguinal mass and fatigue. In our outpatient clinic, physical examination showed bilateral inguinal movable mass without tenderness, suspect lymph nodes enlargement. The abdominal computed tomography showed diffuse abdominal lymphadenopathy in the para-aortic region, mesentery, and in the bilateral inguinal regions. Scrotal sonography showed unremarkable finding of bilateral testis. Lymph node biopsy was performed on 2021-12-23. The pathology report disclosed mantle cell lymphoma. Currently, the patient received chemotherapy treatment by oncologist.