Primary biliary lymphoma mimicking cholangiocarcinoma: a characteristic feature of discrepant CT and direct cholangiography findings.
Primary non-Hodgkin's lymphoma arising from the bile duct is extremely rare and the reported imaging features do not differ from those of cholangiocarcinoma of the bile duct. We report a case of a patient with extranodal marginal zone B-cell lymphoma of mucosa associated lymphoid tissue (MALT), who presented with obstructive jaundice and describe the distinctive radiologic features that may suggest the correct preoperative diagnosis of primary lymphoma of the bile duct. Primary MALT lymphoma of the extrahepatic bile duct should be considered in the differential diagnosis when there is a mismatch in imaging findings on computed tomography or magnetic resonance imaging and cholangiography.
Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
Min A
MA
Yoon
Jeong Min
JM
Lee
Se Hyung
SH
Kim
Jae Young
JY
Lee
Joon Koo
JK
Han
Byung Ihn
BI
Choi
Sun-Whe
SW
Kim
Ja-June
JJ
Jang
D001650:Bile Duct Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D017734:Bile Ducts, Extrahepatic; D018281:Cholangiocarcinoma / Q000175:diagnosis; D002758:Cholangiography; D003937:Diagnosis, Differential; D006801:Humans; D041781:Jaundice, Obstructive / Q000150:complications / Q000175:diagnosis; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed