Synchronous diffuse well-differentiated lymphocytic lymphoma and gastric adenocarcinoma presenting as splenomegaly and iron deficiency anemia.
Diffuse well-differentiated lymphocytic lymphoma (D-WDLL) and chronic lymphocytic lymphoma (CLL) represent closely related neoplasms which may have indolent courses. Dating back more than one century, reports of associated second primary malignancies continue to intrigue clinicians. A case of synchronous D-WDLL and gastric adenocarcinoma, presenting as splenomegaly and iron deficiency anemia, is presented. The case and literature are reviewed.
Fink
L M
LM
Department of Internal Medicine, Walter Reed Army Medical Center, Washington, DC.
Bolan
C D
CD
Krishnan
J
J
Hinton
C
C
Redmond
J
J
D000230:Adenocarcinoma / Q000150:complications*; D000368:Aged; D000747:Anemia, Hypochromic / Q000209:etiology*; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications*; D008297:Male; D009378:Neoplasms, Multiple Primary; D013163:Splenomegaly / Q000209:etiology*; D013274:Stomach Neoplasms / Q000150:complications*