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Published on: February 12, 2022

Diffuse Large B-Cell Lymphoma Presenting as a Thigh Mass: A Case Report.

Sondos Badran1, Karina Basmajian1, Alexander T Phan2

  • 1Department of Internal Medicine, Arrowhead Regional Medical Center, Colton, CA, USA.

The Permanente Journal
|May 28, 2026
PubMed
Summary

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Diffuse large B-cell lymphoma (DLBCL) can rarely present as a thigh mass, mimicking sarcoma. This case highlights the importance of considering lymphoma in extremity mass differentials.

Area of Science:

  • Oncology
  • Pathology
  • Radiology

Background:

  • Diffuse large B-cell lymphoma (DLBCL) is the most common non-Hodgkin lymphoma, typically affecting older adults.
  • Classic DLBCL symptoms include lymphadenopathy, fever, night sweats, and weight loss.
  • Extranodal DLBCL presentations are rare and can mimic other malignancies.

Purpose of the Study:

  • To report an exceedingly rare case of primary DLBCL of the thigh.
  • To emphasize the potential for DLBCL to mimic sarcoma in clinical and radiographic presentation.
  • To highlight the importance of a broad differential diagnosis for extremity masses.

Main Methods:

  • Case report of a 76-year-old female with right thigh swelling and pain.
  • Imaging studies revealed a soft-tissue mass suspicious for sarcoma.
Keywords:
diagnosisoncologytumors

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  • Histopathological biopsy confirmed DLBCL.
  • Main Results:

    • The patient's thigh mass was diagnosed as DLBCL.
    • The presentation mimicked sarcoma both clinically and radiographically.
    • Primary thigh involvement by lymphoma is exceedingly rare.

    Conclusions:

    • Extranodal DLBCL, particularly in the thigh, is rare but can mimic other cancers like sarcoma.
    • Clinicians must maintain a broad differential diagnosis for extremity masses.
    • Awareness of unusual DLBCL presentations is crucial for accurate diagnosis.