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64 year old female with 1 week of swelling, right leg. Swelling resolves after lying down at night. No other symptoms.
| Physical Exam | 05/20/XX |
Abdominal mass on pelvic exam. |
| Imaging | 05/25/XX |
Barium enema prior to admission: negative for colon mass IVP: right pelvic mass |
| 05/20/XX | CXR: negative for masses | |
| Endoscopy | Not done | |
| Operation | 06/01/XX | Abdominal exploration, omentectomy, TAH and BSO, dissection of L iliac nodes: Atrophic uterus; lymphoma of the left iliac lymph nodes, dissected and resected; liver and spleen appeared free of disease. |
| Pathology | 06/01/XX | Iliac lymph nodes: Follicular, small cleaved cell lymphoma Inguinal lymph nodes: no evidence of tumor Uterus: atrophic Tubes and ovaries: serosal adhesions; no tumor |
| 06/09/XX | Bone marrow aspiration biopsy: Follicular, small cleaved cell lymphoma infiltrating the bone marrow. | |
| Treatment | 06/14/XX | Started Rituxan with Cytoxan, vincristine, and prednisone (R-CVP regimen) |
