PMC6545775_01
CT scan of the abdomen ((a) axial section, showed large 10 x 10 cm ileocolic mass, lymphadenopathy at the right colic area, and splenomegaly; (b) horizontal section).
CRIONM2019-3740547.001.jpg
PMC6545775_01_CRIONM2019-3740547.001.jpg
fig1
An abdominal CT scan showed large ileocolic mass with enlarged lymphadenopathy at the right colic area (Figure 1).
(a) Bone marrow biopsy with 400x H&E stain showed diffuse infiltrate and characterized by medium-to-large cells with irregular nuclear contour, prominent nucleoli, and cytoplasmic vacuoles. Brisk mitosis identified. (b) Colon biopsy with 400x H&E stain showed intermediate-sized lymphoid cells with scattered histiocytes imparting a "starry sky" pattern.
CRIONM2019-3740547.002.jpg
PMC6545775_01_CRIONM2019-3740547.002.jpg
fig2
CT head, neck, and thorax revealed no other lymph node involvement (Figure 2).
Electrolyte disturbance in TLS patient over the days since hospital admission.
CRIONM2019-3740547.003.jpg
PMC6545775_01_CRIONM2019-3740547.003.jpg
fig3
His glomerular filtration rate (GFR) dropped to 22 ml/min/1.73 m2 and serum creatinine increased to 4 mg/dl (Figure 3).