Right upper quadrant pain and mass in a 41-year-old previously healthy man: a presenting feature of HIV-associated extranodal diffuse large B cell lymphoma with cardiac involvement
- Abhirami Vivekanandarajah1,
- Vijaya Raj Bhatt2,
- Balakumar Krishnarasa2,
- Srujitha Murukutla2,
- Arnold Brenner3,
- Shilpi Gupta1
- 1Department of Haematology/Oncology, Staten Island University Hospital, Staten Island, New York, USA
- 2Department of Internal Medicine, Staten Island University Hospital, Staten Island, New York, USA
- 3Department of Nuclear Medicine and Positron Emission Tomography, Staten Island University Hospital, Staten Island, New York, USA
- Correspondence to Dr Srujitha Murukutla, srujitha.murukutla{at}gmail.com
Summary
With an increasing pandemic of HIV/AIDS, the incidence of HIV-associated lymphoma is expected to rise. Here, the authors report a case of a 41-year-old man who presented with right upper quadrant pain and mass, and was subsequently diagnosed with HIV-associated diffuse large B cell lymphoma (DLBCL) with cardiac involvement. This case illustrates some of the uncommon and interesting aspects of DLBCL: primary extramedullary extranodal stage IV disease as the presenting feature; cardiac involvement at presentation; DLBCL as the only clue to the diagnosis of HIV; and management of HIV-associated DLBCL. This case is also a reminder of the importance of the routine HIV screening for all patients between the ages of 13–64 years, as advocated by centres of disease control and prevention.
Footnotes
-
Competing interests None.
-
Patient consent Obtained.
