Radiology Case Reports (Apr 2021)

Case report: Primary bone lymphoma presenting as a painful supraclavicular lump

  • Sian Davies, MBChB, Bsc (Hons), FRCR,
  • Leon Sergot, MBBS, Bsc, MRCP, FRCR,
  • Naim Qamhia, MD,
  • Joya Pawade, MBBS, FRCPath,
  • Julian Chakraverty, MBChB, Bsc (Hons) Ost Med, PG Dip SEM, MRCS, FRCR

Journal volume & issue
Vol. 16, no. 4
pp. 871 – 873

Abstract

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Primary bone lymphoma is a rare type of non-Hodgkin's lymphoma. It commonly arises from long bones such as the femur in the appendicular skeleton. The authors present a case of primary bone lymphoma of the clavicle, an uncommon location for this pathology, presenting as a painful supraclavicular lump in a 76-year-old woman. Magnetic resonance imaging and ultrasound examinations showed the typical feature of preservation of the bony cortex, and PET-CT revealed no alternative primary site of malignancy. This case highlights the importance of considering typical imaging characteristics of a lesion, even if it presents in an unusual site, as well as the value of completion imaging in clinical practice to secure a diagnosis.

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