TITLE:
Small Cell Lymphoma of the Gastrocnemius Muscle: A Case Report
AUTHORS:
Abdoul Kadri Moussa, Layes Touré, Kalifa Coulibaly, Mahamadou Diallo, Mamadou Bassirou Traoré, Cheick Oumar Sanogo, Laurent Désiré Ndzié Essomba, Madani Ly, Aboubacar Sidiki Ndiaye, Safiatou A. Touré, Bakarou Kamaté
KEYWORDS:
Small Cell Lymphoma, Marginal Muscle Gastrocnemius, Excision, Adjuvant Chemotherapy, Evolution, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.4,
April
27,
2023
ABSTRACT: Introduction: The primary localization of non-Hodgkin lymphoma of the muscle is rare.
Only the biopsy allows the certainty diagnosis. The aim was to report a first
case of small cell lymphoma of the gastrocnemius in Mali and to do a review of
the literature. Clinical Observation: It was about a 34-year-old
woman who consulted 3 months after the onset of symptoms for swelling and pain
in the left calf. On clinical examination there was a hard, painful and warm
mass in the left calf, with paresthesias in the tibial nerve territory
associated with partial functional impotence of the leg. The ultrasound
revealed a hyper echogenic and heterogeneous non-vascularized mass of the left
gastrocnemius muscle measuring 65 × 45 × 40 mm non-vascularized on color
Doppler and pulsed in favor of myositis. Magnetic resonance imaging (MRI)
concluded in a well-limited heterogeneous cystic mass in the left gastrocnemius
muscle respecting the bone of benign appearance: remodeled Baker’s cyst?
Considering the radioclinical unconformity, thoraco-abdominal CT was performed
and revealed pulmonary metastasis. The biopsy carried out concluded with a small cell lymphoma of the
gastrocnemial muscle. Marginal resection was performed associated with adjuvant
chemotherapy. The advancement at 9 months was satisfactory.