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Published on: April 15, 2021
Lymphoma masquerading as a recurrent brachial artery aneurysm
N Fassiadis1, D Ananos, H Zayed
1Department of Vascular Surgery, King's College Hospital, London. nfassiadis@doctors.org.uk
Malignant lymphoma infiltrating the brachial artery is a rare complication in renal transplant recipients. This case highlights the importance of considering post-transplant cancers, including angiodestructive B-cell lymphoma, in long-term survivors.
Area of Science:
- Oncology
- Transplantation Immunology
- Vascular Surgery
Background:
- Renal transplantation improves patient longevity.
- Increased cancer incidence is observed in long-term transplant survivors.
- Malignant lymphoma can affect various organs post-transplantation.
Observation:
- A 64-year-old renal transplant recipient presented with an unusual complication.
- The patient was diagnosed with angiodestructive B-cell lymphoma.
- The lymphoma infiltrated the brachial artery, a previously undocumented presentation.
Findings:
- Angiodestructive B-cell lymphoma can manifest in the brachial artery of renal transplant recipients.
- This presentation is rare and has not been previously documented in the literature.
- The vascular infiltration by lymphoma poses unique diagnostic and therapeutic challenges.
Implications:
- Increased cancer surveillance is crucial for long-term renal transplant recipients.
- Physicians should consider rare oncological complications like brachial artery lymphoma.
- Further research is needed to understand the pathogenesis and optimal management of such cases.
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