Case 11-2017 — A 61-Year-Old Woman with Leg Swelling, Back Pain, and Hydronephrosis
A 61-year-old woman presented with a 3-month history of leg swelling and back pain. Imaging revealed a large retroperitoneal mass with hydronephrosis. A diagnostic procedure was performed, and management decisions were made. Presentation of Case Dr. Areej El-Jawahri (Hematology–Oncology): A 61-year-...
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| Veröffentlicht in: | The New England journal of medicine 2017-04, Vol.376 (15), p.1461-1471 |
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| container_title | The New England journal of medicine |
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| creator | Hochberg, Ephraim P Bierer, Michael F Winkfield, Karen M Chen, Yi-Bin Muse, Victorine V Louissaint, Abner |
| description | A 61-year-old woman presented with a 3-month history of leg swelling and back pain. Imaging revealed a large retroperitoneal mass with hydronephrosis. A diagnostic procedure was performed, and management decisions were made.
Presentation of Case
Dr. Areej El-Jawahri
(Hematology–Oncology): A 61-year-old woman was seen in the emergency department of this hospital because of leg swelling and back pain.
The patient had been in her usual health until approximately 3 months before this presentation, when mild swelling of her left leg developed. Three days before this presentation, pain in the back, both flanks, and left leg developed and the leg swelling increased. She came to the emergency department of this hospital.
The patient reported no trauma, fevers, night sweats, or weight loss. She had arthritis, asthma, hypercholesterolemia, hypertension, and non–insulin-dependent type 2 diabetes . . . |
| doi_str_mv | 10.1056/NEJMcpc1616023 |
| format | Article |
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Presentation of Case
Dr. Areej El-Jawahri
(Hematology–Oncology): A 61-year-old woman was seen in the emergency department of this hospital because of leg swelling and back pain.
The patient had been in her usual health until approximately 3 months before this presentation, when mild swelling of her left leg developed. Three days before this presentation, pain in the back, both flanks, and left leg developed and the leg swelling increased. She came to the emergency department of this hospital.
The patient reported no trauma, fevers, night sweats, or weight loss. She had arthritis, asthma, hypercholesterolemia, hypertension, and non–insulin-dependent type 2 diabetes . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcpc1616023</identifier><identifier>PMID: 28402765</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Abdomen ; Alzheimer's disease ; Back pain ; Back Pain - etiology ; Biopsy ; Blood pressure ; Breast cancer ; Cardiovascular disease ; Case reports ; Diabetes ; Diagnosis, Differential ; Edema - etiology ; Female ; Hematopoietic Stem Cell Transplantation ; Humans ; Hydronephrosis - etiology ; Hypertension ; Leg ; Lymphadenopathy ; Lymphatic system ; Lymphoma, Follicular - complications ; Lymphoma, Follicular - diagnosis ; Lymphoma, Follicular - pathology ; Lymphoma, Follicular - therapy ; Middle Aged ; Pain ; Retroperitoneal Neoplasms - complications ; Retroperitoneal Neoplasms - diagnosis ; Retroperitoneal Neoplasms - pathology ; Tomography, X-Ray Computed ; Womens health</subject><ispartof>The New England journal of medicine, 2017-04, Vol.376 (15), p.1461-1471</ispartof><rights>Copyright © 2017 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-4565e28ec2b4a1a3439385a37e5ddbd239271991ae3e97fbf6dcbd32a4f37e533</citedby><cites>FETCH-LOGICAL-c354t-4565e28ec2b4a1a3439385a37e5ddbd239271991ae3e97fbf6dcbd32a4f37e533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMcpc1616023$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1887965751?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,2745,2746,23910,23911,25119,26082,27903,27904,52360,54042,64361,64363,64365,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28402765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Dudzinski, David M</contributor><contributor>Cabot, Richard C</contributor><contributor>Rosenberg, Eric S</contributor><contributor>Shepard, Jo-Anne O</contributor><contributor>Harris, Nancy Lee</contributor><contributor>Pierce, Virginia M</contributor><contributor>Baggett, Meridale V</contributor><contributor>McDonald, Emily K</contributor><contributor>Ebeling, Sally H</contributor><contributor>Sgroi, Dennis C</contributor><contributor>Shepard, Jo-Anne O.</contributor><contributor>Ebeling, Sally H.</contributor><contributor>Dudzinski, David M.</contributor><contributor>Pierce, Virginia M.</contributor><contributor>Baggett, Meridale V.</contributor><contributor>Sgroi, Dennis C.</contributor><contributor>Rosenberg, Eric S.</contributor><contributor>McDonald, Emily K.</contributor><contributor>Cabot, Richard C.</contributor><creatorcontrib>Hochberg, Ephraim P</creatorcontrib><creatorcontrib>Bierer, Michael F</creatorcontrib><creatorcontrib>Winkfield, Karen M</creatorcontrib><creatorcontrib>Chen, Yi-Bin</creatorcontrib><creatorcontrib>Muse, Victorine V</creatorcontrib><creatorcontrib>Louissaint, Abner</creatorcontrib><title>Case 11-2017 — A 61-Year-Old Woman with Leg Swelling, Back Pain, and Hydronephrosis</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>A 61-year-old woman presented with a 3-month history of leg swelling and back pain. Imaging revealed a large retroperitoneal mass with hydronephrosis. A diagnostic procedure was performed, and management decisions were made.
Presentation of Case
Dr. Areej El-Jawahri
(Hematology–Oncology): A 61-year-old woman was seen in the emergency department of this hospital because of leg swelling and back pain.
The patient had been in her usual health until approximately 3 months before this presentation, when mild swelling of her left leg developed. Three days before this presentation, pain in the back, both flanks, and left leg developed and the leg swelling increased. She came to the emergency department of this hospital.
The patient reported no trauma, fevers, night sweats, or weight loss. She had arthritis, asthma, hypercholesterolemia, hypertension, and non–insulin-dependent type 2 diabetes . . .</description><subject>Abdomen</subject><subject>Alzheimer's disease</subject><subject>Back pain</subject><subject>Back Pain - etiology</subject><subject>Biopsy</subject><subject>Blood pressure</subject><subject>Breast cancer</subject><subject>Cardiovascular disease</subject><subject>Case reports</subject><subject>Diabetes</subject><subject>Diagnosis, Differential</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Hematopoietic Stem Cell Transplantation</subject><subject>Humans</subject><subject>Hydronephrosis - etiology</subject><subject>Hypertension</subject><subject>Leg</subject><subject>Lymphadenopathy</subject><subject>Lymphatic system</subject><subject>Lymphoma, Follicular - complications</subject><subject>Lymphoma, Follicular - diagnosis</subject><subject>Lymphoma, Follicular - pathology</subject><subject>Lymphoma, Follicular - therapy</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Retroperitoneal Neoplasms - complications</subject><subject>Retroperitoneal Neoplasms - diagnosis</subject><subject>Retroperitoneal Neoplasms - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Womens health</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp10MtKxDAUBuAgio6jW5cSEMTFdMzJSdJ2qYM6yngBFXFV0ibVjtOLzRRx50P4hD6JHWcUFDybbL78nPMTsgWsD0yq_Yujs_OkSkCBYhyXSAckoicEU8ukwxgPPOGHuEbWnRuzdkCEq2SNB4JxX8kOuR1oZymAxxn49OPtnR5QBd691bV3OTH0rsx1QV-y6SMd2Qd6_WInk6x46NFDnTzRK50VPaoLQ4evpi4LWz3WpcvcBllJ9cTZzcXbJbfHRzeDoTe6PDkdHIy8BKWYekIqaXlgEx4LDRoFhhhIjb6VxsSGY8h9CEPQFm3op3GqTBIb5FqkM4PYJXvz3KounxvrplGeuaRdURe2bFwEQeALQETV0p0_dFw2ddFu96VCJX0JrerPVdLe4WqbRlWd5bp-jYBFs8Kj34W3H7YXsU2cW_PDvxtuwe4c5LmLCjvO_0v6BFtXg88</recordid><startdate>20170413</startdate><enddate>20170413</enddate><creator>Hochberg, Ephraim P</creator><creator>Bierer, Michael F</creator><creator>Winkfield, Karen M</creator><creator>Chen, Yi-Bin</creator><creator>Muse, Victorine V</creator><creator>Louissaint, Abner</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20170413</creationdate><title>Case 11-2017 — A 61-Year-Old Woman with Leg Swelling, Back Pain, and Hydronephrosis</title><author>Hochberg, Ephraim P ; Bierer, Michael F ; Winkfield, Karen M ; Chen, Yi-Bin ; Muse, Victorine V ; Louissaint, Abner</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-4565e28ec2b4a1a3439385a37e5ddbd239271991ae3e97fbf6dcbd32a4f37e533</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdomen</topic><topic>Alzheimer's disease</topic><topic>Back pain</topic><topic>Back Pain - etiology</topic><topic>Biopsy</topic><topic>Blood pressure</topic><topic>Breast cancer</topic><topic>Cardiovascular disease</topic><topic>Case reports</topic><topic>Diabetes</topic><topic>Diagnosis, Differential</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Hematopoietic Stem Cell Transplantation</topic><topic>Humans</topic><topic>Hydronephrosis - etiology</topic><topic>Hypertension</topic><topic>Leg</topic><topic>Lymphadenopathy</topic><topic>Lymphatic system</topic><topic>Lymphoma, Follicular - complications</topic><topic>Lymphoma, Follicular - diagnosis</topic><topic>Lymphoma, Follicular - pathology</topic><topic>Lymphoma, Follicular - therapy</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Retroperitoneal Neoplasms - complications</topic><topic>Retroperitoneal Neoplasms - diagnosis</topic><topic>Retroperitoneal Neoplasms - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hochberg, Ephraim P</creatorcontrib><creatorcontrib>Bierer, Michael F</creatorcontrib><creatorcontrib>Winkfield, Karen M</creatorcontrib><creatorcontrib>Chen, Yi-Bin</creatorcontrib><creatorcontrib>Muse, Victorine V</creatorcontrib><creatorcontrib>Louissaint, Abner</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hochberg, Ephraim P</au><au>Bierer, Michael F</au><au>Winkfield, Karen M</au><au>Chen, Yi-Bin</au><au>Muse, Victorine V</au><au>Louissaint, Abner</au><au>Dudzinski, David M</au><au>Cabot, Richard C</au><au>Rosenberg, Eric S</au><au>Shepard, Jo-Anne O</au><au>Harris, Nancy Lee</au><au>Pierce, Virginia M</au><au>Baggett, Meridale V</au><au>McDonald, Emily K</au><au>Ebeling, Sally H</au><au>Sgroi, Dennis C</au><au>Shepard, Jo-Anne O.</au><au>Ebeling, Sally H.</au><au>Dudzinski, David M.</au><au>Pierce, Virginia M.</au><au>Baggett, Meridale V.</au><au>Sgroi, Dennis C.</au><au>Rosenberg, Eric S.</au><au>McDonald, Emily K.</au><au>Cabot, Richard C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Case 11-2017 — A 61-Year-Old Woman with Leg Swelling, Back Pain, and Hydronephrosis</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2017-04-13</date><risdate>2017</risdate><volume>376</volume><issue>15</issue><spage>1461</spage><epage>1471</epage><pages>1461-1471</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>A 61-year-old woman presented with a 3-month history of leg swelling and back pain. Imaging revealed a large retroperitoneal mass with hydronephrosis. A diagnostic procedure was performed, and management decisions were made.
Presentation of Case
Dr. Areej El-Jawahri
(Hematology–Oncology): A 61-year-old woman was seen in the emergency department of this hospital because of leg swelling and back pain.
The patient had been in her usual health until approximately 3 months before this presentation, when mild swelling of her left leg developed. Three days before this presentation, pain in the back, both flanks, and left leg developed and the leg swelling increased. She came to the emergency department of this hospital.
The patient reported no trauma, fevers, night sweats, or weight loss. She had arthritis, asthma, hypercholesterolemia, hypertension, and non–insulin-dependent type 2 diabetes . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>28402765</pmid><doi>10.1056/NEJMcpc1616023</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The New England journal of medicine, 2017-04, Vol.376 (15), p.1461-1471 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; New England Journal of Medicine Current; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland |
| subjects | Abdomen Alzheimer's disease Back pain Back Pain - etiology Biopsy Blood pressure Breast cancer Cardiovascular disease Case reports Diabetes Diagnosis, Differential Edema - etiology Female Hematopoietic Stem Cell Transplantation Humans Hydronephrosis - etiology Hypertension Leg Lymphadenopathy Lymphatic system Lymphoma, Follicular - complications Lymphoma, Follicular - diagnosis Lymphoma, Follicular - pathology Lymphoma, Follicular - therapy Middle Aged Pain Retroperitoneal Neoplasms - complications Retroperitoneal Neoplasms - diagnosis Retroperitoneal Neoplasms - pathology Tomography, X-Ray Computed Womens health |
| title | Case 11-2017 — A 61-Year-Old Woman with Leg Swelling, Back Pain, and Hydronephrosis |
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