A case of retroperitoneal lymphoma presenting as pancreatic tumor.
We describe a case of non-Hodgkin's lymphoma arising in the peripancreatic retroperitoneal lymph node and extending into the pancreatic parenchyma. Abdominal ultrasonogram and computed tomography of the abdomen showed an mass in the head of pancreas with absence of extrapancreatic disease and no direct tumor extension to the portal vein or superior mesenteric artery. Laparotomy demonstrated a large pancreatic mass with no obstruction of common bile duct or encasement of portal vein and superior mesenteric artery and a pancreaticoduodenectomy was performed. He received chemotherapy with cyclophosphamide, doxorubicin, vincristine and prednisone. The patient is alive and in remission with a follow-up time of 24 months.
Kalil
Antonio Nocchi
AN
Department of Surgery of Fundação Faculdade Federal de Ciências Médicas de Porto Alegre, RS, Brazil. ankalil.voy@terra.com.br
Reck dos Santos
Pedro Augusto
PA
Azambuja
Daniel Barcelos
DB
Beck
Plauto Erasmo
PE
D000328:Adult; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016577:Pancreaticoduodenectomy; D011859:Radiography; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis*