Dr. Pawar Satyajit Jalinder
Medical oncology
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Patient's Query
Hi doctor,
I have just finished three rounds of R-CHOP for stage 1A diffuse large B-cell lymphoma and currently receiving radiation to my hip or groin. Recently I found another lump on my elbow bone, not inside crease but outside. Two weeks ago, my elbow was red and sore. Possibly bursitis but can feel a small lump underneath the fluid. Is it common for lymphoma to spread to these parts?
Hello,
Welcome to icliniq.com.
As per your history, you had stage 1A DLBCL (diffuse large B-cell lymphoma) and have already completed 3 R-CHOP. On radiation currently, which is standard therapy.
Regarding the lump, I would like to know since when it is present, do you have any pain or tenderness, experienced any trauma, fever or involvement in sports.
Mostly, it looks like bursitis. As it is very very unlikely for stage IA DLBCL to affect this site. And if consistency is suggestive of fluid underneath, then it becomes highly unlikely. I would advise symptomatic treatment and follow up.
Patient's Query
Hi doctor,
Thanks for your response.
It is present for three and a half weeks ago. There is no paid or tenderness. There was no trauma or involvement in sports. I do not have a fever. Bursitis has gone down and no swelling anymore, but I can still feel the unmovable lump a few centimeters from the joint. Feels like it is on my ulnar bone. Could this be refractory lymphoma?
Hello,
Welcome back to icliniq.com.
Thanks for the feedback.
The immovable lump should be firm or hard. It does not look like a lymphoma deposit if it is arising from ulnar. I will not consider refractory lymphoma currently. It is very unlikely. Please go ahead with your RT (radiotherapy). Anyway, you will be due for a response assessment after radiation. I will advise just a clinical follow up till then. Thanks.
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Medical oncology
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