Indian Journal of Medical Research

CLINICAL IMAGES
Year
: 2015  |  Volume : 141  |  Issue : 6  |  Page : 845--846

Trephine biopsy in an elderly man revealed double pathology


Prakas Kumar Mandal, Tuphan Kanti Dolai 
 Department of Hematology, Nilratan Sircar Medical College, Kolkata 700 014, West Bengal, India

Correspondence Address:
Prakas Kumar Mandal
Department of Hematology, Nilratan Sircar Medical College, Kolkata 700 014, West Bengal
India




How to cite this article:
Mandal PK, Dolai TK. Trephine biopsy in an elderly man revealed double pathology .Indian J Med Res 2015;141:845-846


How to cite this URL:
Mandal PK, Dolai TK. Trephine biopsy in an elderly man revealed double pathology . Indian J Med Res [serial online] 2015 [cited 2020 Aug 12 ];141:845-846
Available from: http://www.ijmr.org.in/text.asp?2015/141/6/845/160736


Full Text

A 67 year old male presented with generalized lymphadenopathy for eight months in May 2011 to the department of Hematology, NRS Medical College and Hospital, Kolkata, India. Lymph node biopsy with histopathology and immunohistochemistry was suggestive of follicular lymphoma (FL). Bone marrow (BM) aspiration and trephine biopsy findings are shown in [Figure 1] and [Figure 2]. Serum prostate specific antigen (PSA) and trucut biopsy of prostate were suggestive of adenocarcinoma prostate (ACP). Bilateral orchiectomy was done and oral bicalutamide followed by six cycles of R-CHOP (rituximab-cyclophosphamide, doxorubicin, vincristine, prednisolone) were given. Positron emission tomography (PET) showed complete remission ( [Figure 3] [Figure 4]). On the last follow up in March 2015 the patient was doing well. BM simultaneously involved by FL and ACP is very rare.{Figure 1}{Figure 2}{Figure 3}{Figure 4}