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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 | Abdominal mass on pelvic exam. |
| Imaging | Barium enema prior to admission: negative for colon mass IVP: right pelvic mass CXR: negative for masses |
| Endoscopy | Not done |
| Operation | 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 | Iliac lymph nodes: Follicular, small cleaved cell lymphoma Bone marrow aspiration biopsy: Follicular, small cleaved cell lymphoma infiltrating the bone marrow. |
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| Treatment | Started Cytoxan and Vincristine |
