Primary Mediastinal B-Cell Lymphoma

Office visit and admission

• 2023-05-24: HR 130s, dyspneic, plethoric, but able to get around w/o assistance and speak in complete sentences.
• Discussed DLBCL vs PMBCL, possibility of cure in either case, recommended admission for expedited w/u and tx start.
• Contacted thoracic team for mediastinoscopy, which they accommodated same-day (+chest tube).
• Mostly fibrotic tissue, "like chopping through wood".
• Wrote for R-EPOCH to start next day.