A 72-year-old man presented with a 2-year history of gradually progressive swelling of the upper eyelids (Fig. 1). Physical examination revealed swollen nontender eyelids, enlarged submandibular and parotid glands, and enlarged neck lymphadenopathy. T2-weighted magnetic resonance images showed enlargement of both lacrimal glands (Fig. 2). Excisional biopsy of the eyelid exhibited mantle cell lymphoma. Fluorodeoxyglucose positron emission tomography revealed abnormal uptake in the axillary and inguinal lymph nodes and stomach wall. A diagnosis of Ann Arbor stage IV mantle cell lymphoma was made.
WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.
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Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.