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종결 Case No. 644 2023-01-01~2023-01-31

출제자 : 서종현 Hit : 571

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Period	2023-01-01~2023-01-31
Diagnosis	INTRAVASCULAR LARGE B-CELL LYMPHOMA
Gender	M F
Age	65
Clinical information	기저질환 없던 환자로 점차 진행하는 drowsy, disorientation과 최근 mental change를 주소로 내원한 65세 여자환자이다. 진단은?
Discussion	1. Pathology - Small/medium-sized vessels filled with tumor - Little/no parenchymal tumor - Multifocal infarcts, microhemorrhages common 2. Clinical issues - Older patients with dementia, cognitive decline, TIAs - Skin lesions (50%) 3. Imaging - Mutlifocal T2/FLAIR hyperintensities - Hemorrhages, foci of restricted diffusion - Linear/punctate enhancement
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