Abstract
The patient was an 82-year-old man known for hypertension, hyperlipidemia, and gout who was diagnosed with follicular lymphoma 5 years before nephrology consultation. His lymphoma did not require therapy until 2 years before presentation, when his disease progressed clinically and radiographically with worsening lymphadenopathy. At that time, he completed 8 cycles of rituximab, cyclophosphamide, vincristine, and prednisolone, with near-complete remission. Three weeks before the nephrology consultation, a repeat computed tomography scan showed a significant progression of abdominal lymphadenopathy and a lymph node biopsy confirmed transformation into diffuse large B-cell lymphoma.
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