PMC4010054_01
Orolabial vesicles and ulcers. Appearance of orolabial vesicles and ulcers on day 17 of ICU treatment, two days before death (percutaneous tracheotomy was performed on day 7).
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On the same day (almost four weeks after admission to hospital) oral aphtous ulcers, orolabial, and genital herpetiform vesicles (Figure 1) appeared.
Autopsy revealed a massive retroperitoneal lymphoma. Giant retroperitoneal lymphoma masses enclosing abdominal aorta [ ], inferior vena cava [#] and leading to stenosis of the right ureter [*]. Tissue was formalin fixed.
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On autopsy the retroperitoneal space-occupying lesion revealed a solid tumor (21 x 18 x 9.5 cm) expanding from the renal artery to the common right iliac artery and right psoas muscle, enclosing the inferior vena cava and the abdominal aorta (see Figure 2), leading to ureter stenosis and dilatation on both sides as well as to infiltration of the bladder.