Axillary adenopathy may be part of a generalized process or may be localized and secondary to infection in the limb.

Main manifestation of the clinical symptoms were enlargement of lymph nodes, fever, hepatosplenomegaly, skin rash, rapid red cell sedimentation rate and polyclonal hyperglobulinemia.

Conclusion The osteolytic lesion and a large soft tissue mass are common radiological appearances of bone PNETs and calcification and regional lymphadenopathy are rarely seen.