• Guben JN
• Van der Mark RLJ
• Yeghiayan E

• Leg
• Lymphoma
• Ultrasonography

Malignancies are an important, although rare, cause of back pain which must be a consideration in patients with certain historical factors, or in patients who do not respond to treatment. This case report emphasizes the importance of performing a thorough examination of any unexplained complaint of low back, buttock or hip pain, the need for continual re-evaluation and modification of the initial diagnosis, and the importance of diagnostic ultrasound when clinically indicated. The decision to refer the patient for further evaluation, including medical imaging techniques, may not become apparent until a regimen of care has been provided and a follow-up exam performed.A case report is presented in which a clarification of the patients symptoms and a thorough re-evaluation following a regimen of conservative chiropractic care led to a referral for diagnostic ultrasound imaging studies and ultimately the diagnosis of B-Cell lymphoma.

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