Diffuse large B-cell lymphoma with massive portal vein tumor thrombosis in a patient with alcoholic cirrhosis: a case report and literature review.
We describe a case of diffuse large B-cell lymphoma with massive portal vein tumor thrombosis in a patient with alcoholic cirrhosis. The tumor was detected only in the intrahepatic portal vein and the spermatic cord by FDG-PET/CT. Percutaneous liver biopsy and orchiectomy were performed and histological examination revealed diffuse large B-cell lymphoma. The tumor showed complete response after six courses of the combination chemotherapy. Portal vein tumor thrombosis of malignant lymphoma is extremely rare; moreover, it is possible that this is the first case of malignant lymphoma originating from the spermatic cord producing portal vein tumor thrombosis.
Natsuizaka
Mitsuteru
M
Department of Gastroenterology, Sapporo Hokuyu Hospital, Sapporo. tosho@hokuyu-aoth.org
Kudo
Mineo
M
Suzuki
Mio
M
Takano
Masatoshi
M
Tsuyuguchi
Masako
M
Kawamura
Naoyuki
N
Noguchi
Shinsuke
S
Wada
Akinori
A
Nakata
Masanobu
M
Ogasawara
Masahiro
M
Kiyama
Yoshio
Y
Asaka
Masahiro
M
Kasai
Masaharu
M
D000368:Aged; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D008297:Male; D009360:Neoplastic Cells, Circulating / Q000473:pathology*; D011169:Portal Vein / Q000473:pathology; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013085:Spermatic Cord / Q000473:pathology; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18