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A Rare Case of Diffuse Large B-Cell Lymphoma Found in the Subcutaneous Scalp
Kristin N Slater1, Moustapha Doulaye2, Adnan Mohammadbhoy2
1General Surgery, Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, USA.
Insights
Subcutaneous scalp masses can rarely be diffuse large b-cell lymphoma, an uncommon diagnosis. Thorough evaluation of scalp masses is crucial for accurate diagnosis and management.
Area of Science:
- Oncology
- Dermatology
- Pathology
Background:
- Diffuse large b-cell lymphoma (DLBCL) is a common non-Hodgkin lymphoma.
- Subcutaneous involvement of DLBCL is rare.
- Scalp manifestations are particularly uncommon.
Observation:
- A 60-year-old male with a history of benign cysts presented with a subcutaneous occipital scalp mass.
- The mass's intraoperative appearance was atypical for a cyst.
- Histopathological examination was performed.
Findings:
- Pathology confirmed diffuse large b-cell lymphoma.
- The subcutaneous scalp mass represented DLBCL.
Implications:
- This case underscores the importance of considering lymphoma in subcutaneous scalp masses.
- Thorough pathological assessment is vital for diagnosing rare presentations of DLBCL.
- Early and accurate diagnosis can improve patient outcomes for cutaneous lymphomas.
Abstract:
Subcutaneous scalp manifestations of diffuse large b-cell lymphoma are uncommon and can be an easily overlooked diagnosis. Today we report a rare case of a 60-year-old male with a previous history of treatment and removal of multiple benign cysts who presented to the office for the removal of a subcutaneous mass on the left occipital scalp. Intraoperatively the mass did not resemble a cyst. Pathology results showed diffuse large b-cell lymphoma, highlighting the importance of thorough management of subcutaneous masses.
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