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. 2016 Dec 2;6(12):e502. doi: 10.1038/bcj.2016.104

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Copyright © 2016 The Author(s)

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Submental PET-avid mass consistent with DLBCL and laboratory evidence for lactic acidosis and hypoglycemia. (a) Arrow shows large submandibular mass with intense uptake consistent with large cell transformation. (b) Refractory hypoglycemia without evidence for endocrine and infectious etiology. Marked lactic acidosis was observed during evolving hypoglycemia refractory to administration of intravenous high glucose concentration.