Author(s)

Abdoul Kadri Moussa^1*, Layes Touré², Kalifa Coulibaly³, Mahamadou Diallo¹, Mamadou Bassirou Traoré¹, Cheick Oumar Sanogo³, Laurent Désiré Ndzié Essomba¹, Madani Ly⁴, Aboubacar Sidiki Ndiaye⁵, Safiatou A. Touré⁶, Bakarou Kamaté⁶

¹Orthopedics-Traumatology Department, Gabriel Touré University Hospital, Bamako, Mali.
²Orthopedics-Traumatology Department of Sikasso’s University Hospital, Sikasso, Mali.
³Orthopedics-Traumatology Department of Kati’s University Hospital, Kati, Mali.
⁴Medical Oncology Department of Mother-Child Luxembourg University Hospital, Bamako, Mali.
⁵Medical Imaging Service, Faculty of Medicine and Odontostomatology, Bamako, Mali.
⁶Anatomy-Cytology-Pathology Department of the Point G University Hospital, Bamako, Mali.

Introduction: The primary localization of non-Hodgkin lymphoma of the muscle is rare. Only the biopsy allows the certainty diagnosis. The aim was to report a first case of small cell lymphoma of the gastrocnemius in Mali and to do a review of the literature. Clinical Observation: It was about a 34-year-old woman who consulted 3 months after the onset of symptoms for swelling and pain in the left calf. On clinical examination there was a hard, painful and warm mass in the left calf, with paresthesias in the tibial nerve territory associated with partial functional impotence of the leg. The ultrasound revealed a hyper echogenic and heterogeneous non-vascularized mass of the left gastrocnemius muscle measuring 65 × 45 × 40 mm non-vascularized on color Doppler and pulsed in favor of myositis. Magnetic resonance imaging (MRI) concluded in a well-limited heterogeneous cystic mass in the left gastrocnemius muscle respecting the bone of benign appearance: remodeled Baker’s cyst? Considering the radioclinical unconformity, thoraco-abdominal CT was performed and revealed pulmonary metastasis. The biopsy carried out concluded with a small cell lymphoma of the gastrocnemial muscle. Marginal resection was performed associated with adjuvant chemotherapy. The advancement at 9 months was satisfactory.

Small Cell Lymphoma, Marginal Muscle Gastrocnemius, Excision, Adjuvant Chemotherapy, Evolution, Mali

Moussa, A. , Touré, L. , Coulibaly, K. , Diallo, M. , Traoré, M. , Sanogo, C. , Ndzié Essomba, L. , Ly, M. , Ndiaye, A. , Touré, S. and Kamaté, B. (2023) Small Cell Lymphoma of the Gastrocnemius Muscle: A Case Report. Surgical Science, 14, 303-308. doi: 10.4236/ss.2023.144034.