Imaging in Internal Medicine
30 April 2013

A vast retroperitoneal mass and autoimmune haemolytic anemia

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CLINICAL CASE We report a 64 year-old patient with fatigue and intermittent fever. Laboratory investigations revealed autoimmune haemolytic anemia. An abdomen CT scan showed a retroperitoneal mass near the left kidney. The CT scan guided mass biopsy was performed and its histology was diagnostic for a non Hodgkin B cell lymphoma.
CONCLUSIONS The case describes autoimmume haemolytic anemia as a paraneoplastic syndrome associated with lymphoma. Autoimmume haemolytic anemia is a frequent paraneoplastic syndrome of lymphoproliferative disorders. The onset can be concomitant to the diagnosis of leukemia/lymphoma or follows the course of these neoplastic diseases or less frequently occurs years in advance.

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A vast retroperitoneal mass and autoimmune haemolytic anemia. (2013). Italian Journal of Medicine, 3(2), 107-108. https://doi.org/10.4081/itjm.2009.107