Symposium 2012 Kiran Qidwai, MD (PGY-2) LAC+USC Medical Center - PowerPoint PPT Presentation

Dec 02, 2022 •452 likes •586 views

LASOP Resident/Fellow Symposium 2012 Kiran Qidwai, MD (PGY-2) LAC+USC Medical Center Clinical History 62 year old female presented to ENT clinic with a right submandibular mass 4 years ago parotidectomy showed reactive lymphoid

LASOP Resident/Fellow Symposium 2012 Kiran Qidwai, MD (PGY-2) LAC+USC Medical Center
Clinical History • 62 year old female presented to ENT clinic with a right submandibular mass • 4 years ago parotidectomy showed reactive lymphoid hyperplasia • 2 years ago lacrimal gland biopsy showed reactive lymphoid hyperplasia
Current Physical Exam Findings • Non-tender, firm right submandibular lymph nodes • Bilateral cervical lymphadenopathy • Left parotid enlargement
CBC Results • WBC: 5.2 K/cumm Differential: • Segs: 45.3% • Hgb: 13.4 g/dL • Lymphs: 37.8% • Monos: 10.8% • Plt: 386 K/cumm • Eos: 5.0% • Basos: 1.1%
Imaging Studies
Submandibular Gland
IgG CD 138 IgG4
Diagnosis??

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