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Asymptomatic 65 year old male with bilateral axillary lymph node masses noted on retirement physical.
| Physical Exam | 10/10/XX |
Bilateral axillary nodes palpable. 1.5 x 6.0 cm right inguinal mass fixed to fascia. Smaller nodes also palpable on R grouped into 7 x 4 x 3 cm mass. Left groin nodes palpable. No abdominal masses. |
| Imaging | 10/14/XX |
Chest CT scan: no mediastinal or bronchial adenopathy |
| Endoscopy | Not done | |
| Operation | 11/06/XX |
Abdominal exploration w/excision, right groin nodes and right axillary lymph node dissection |
| Pathology | 11/06/XX |
Inguinal lymph nodes: nodular histiocytic lymphoma. Right axillary lymph nodes: rule out nodular histiocytic lymphoma. [Review at Stanford University Medical Center: Follicular large cell lymphoma.] |
| Treatment | 11/21/XX |
Started R-CHOP regimen (rituximab, cyclophosphamide, doxorubicin, vincristine, prednisone) Radiation therapy planned after patient returns from vacation. |
