Asymptomatic cervical stiffness as the sole presenting feature of ovarian follicular lymphoma: The value of hands-on medicine

Mahum Shahid; Michael Schroeder; Kathryn Radigan; Alla O Zamulko

doi:10.4103/jfmpc.jfmpc_842_19

Asymptomatic cervical stiffness as the sole presenting feature of ovarian follicular lymphoma: The value of hands-on medicine

J Family Med Prim Care. 2020 Feb 28;9(2):1260-1262. doi: 10.4103/jfmpc.jfmpc_842_19. eCollection 2020 Feb.

Authors

Mahum Shahid¹, Michael Schroeder², Kathryn Radigan³, Alla O Zamulko⁴

Affiliations

¹ PGY-2, Department of Internal Medicine, University of South Dakota, Sanford School of Medicine, Sioux Falls, South Dakota, USA.
² MS-4, University of South Dakota, Sanford School of Medicine, Sioux Falls, South Dakota, USA.
³ Sanford Women's Internal Medicine Clinic, Sioux Falls, South Dakota, USA.
⁴ Department of Internal Medicine, University of South Dakota, Sanford School of Medicine, Sioux Falls, South Dakota, USA.

Abstract

A primary care visit is the first encounter of a patient with health care. In context to malignancies, breast cancer and primary ovarian lymphomas are NA clinically and morphologically different malignancies. The rare concurrence of breast cancer and non-Hodgkin lymphoma (NHL) does not warrant any routine surveillance through testing but we present a case of a 71-year-old female with the history of invasive ductal carcinoma of the breast in remission who was diagnosed with follicular carcinoma after an abnormal pelvic examination during her routine primary care visit. This highlights that a routine PC visit with a skilled physical examination can prove to be one of the most cost-effective tools for screening high-risk cancer patients in remission.

Keywords: Cancer screening; history of malignancy; primary care.

Publication types

Case Reports