title: T-cell lymphoma with raised serum glycoprotein-125(CA-125) and raised ascitic fluid adenosinedeaminase levels initially presenting as ascites: a case report and review of literature.
abstract: We report a case of T-cell lymphoma presenting as ascites, omental thickening, and raised serum glycoprotein-125 (CA-125) and high-ascitic fluid adenosinedeaminase levels. This case was clinically suspected to be peritoneal carcinomatosis or peritoneal tuberculosis based on clinical, biochemical, and radiological features. However, effusion cytology, cell block, and immunohistochemistry confirmed this case as T-cell lymphoma. This revealed the role of effusion cytology and cell-block preparation with imunohistochemistry in the diagnosis.
authors.affiliation: Department of Pathology, Institute of Liver and Biliary sciences (ILBS), New Delhi, India.
authors.forename: Chhagan
authors.initials: C
authors.lastname: Bihari
authors.forename: Vikram
authors.initials: V
authors.lastname: Bhatia
authors.forename: Archana
authors.initials: A
authors.lastname: Rastogi
authors.forename: Vaishali
authors.initials: V
authors.lastname: Bhardwaj
authors.forename: Deepak
authors.initials: D
authors.lastname: Jain
authors.forename: Shalini
authors.initials: S
authors.lastname: Thapar
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000243:Adenosine Deaminase / Q000032:analysis* / Q000378:metabolism; D001201:Ascites / Q000378:metabolism*; D001202:Ascitic Fluid / Q000378:metabolism; D001706:Biopsy; D018394:CA-125 Antigen / Q000097:blood*; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D016399:Lymphoma, T-Cell / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography
chemical_list: D018394:CA-125 Antigen; D000243:Adenosine Deaminase