title: Primary hepatic lymphoma presenting as symptomatic immune thrombocytopenic purpura.
abstract: A 33-year old Arabian man presented with idiopathic thrombocytopenic purpura that did not respond to steroid treatment or splenectomy. A routine liver scan performed after splenectomy showed a large mass in the liver. Four years later, massive gastrointestinal bleeding led to an emergency laparotomy, which revealed well-differentiated lymphocytic lymphoma extending from the liver to the fundus and lesser curvature of the stomach. A partial gastrectomy was performed. With chemotherapy the liver mass resolved and the platelet counts have normalized for the past 30 months.
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D006801:Humans; D007075:Immunoglobulin M / Q000032:analysis; D007145:Immunoglobulin kappa-Chains / Q000032:analysis; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications* / Q000628:therapy; D008113:Liver Neoplasms / Q000150:complications* / Q000628:therapy; D008297:Male; D011696:Purpura, Thrombocytopenic / Q000209:etiology* / Q000276:immunology / Q000628:therapy
chemical_list: D007075:Immunoglobulin M; D007145:Immunoglobulin kappa-Chains