title: Massive swelling of the cervical region: an uncommon manifestation of B cell chronic lymphocytic leukemia.
abstract: METHODS
  We report about a 61-year-old woman who attended our Department of Oral and Maxillofacial Surgery complaining about an increasing swelling of her neck over a period of several years and asking for possible plastic surgery options. Further examinations lead us to the diagnosis of an uncommon manifestation of chronic B cell lymphoma. We suggest that plastic surgeons may refer to magnetic resonance tomography imaging and blood cell counts prior to liposuction of a massive swelling of the neck.
  
  
  CONCLUSIONS
  Accurate reduction of adipose tissue in the obese patient is a common field for plastic surgeons. Thus, liposuction has become a standard regimen to treat adipose swelling. But there may be exceptions to the rule. In this case report, we present an uncommon manifestation of a chronic lymphocytic leukemia which showed a massive soft swelling of the whole neck, mimicking Madelung's disease.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Kiel, Arnold-Heller-Str. 16, 24105, Kiel, Germany. becker@mkg.uni-kiel.de
authors.forename: Stephan T
authors.initials: ST
authors.lastname: Becker
authors.forename: Jörg
authors.initials: J
authors.lastname: Wiltfang
authors.forename: Wolfram
authors.initials: W
authors.lastname: Klapper
authors.forename: Roland
authors.initials: R
authors.lastname: Repp
authors.forename: Nektarios
authors.initials: N
authors.lastname: Sinis
authors.forename: Patrick H
authors.initials: PH
authors.lastname: Warnke
mesh_terms: D000273:Adipose Tissue / Q000473:pathology* / Q000601:surgery; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015448:Leukemia, B-Cell / Q000188:drug therapy / Q000473:pathology*; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000188:drug therapy / Q000473:pathology*; D015187:Lipectomy; D008069:Lipomatosis, Multiple Symmetrical / Q000175:diagnosis; D008198:Lymph Nodes / Q000473:pathology*; D008875:Middle Aged; D009333:Neck / Q000473:pathology*; D014740:Vidarabine / Q000008:administration & dosage / Q000031:analogs & derivatives
chemical_list: D003520:Cyclophosphamide; D014740:Vidarabine; C024352:fludarabine