title: Simultaneous occurrence of a hepatocellular carcinoma and a hepatic non-Hodgkin's lymphoma infiltration.
abstract: To investigate the simultaneous occurrence of hepatocellular carcinoma and non-Hodgkin's lymphoma, we report the case of a 70 year old patient with a primary diagnosis of non-Hodgkin's lymphoma in 2002. In a routine follow up investigation of his chronic lymphocytic leukemia a newly detected mass in the Couinaud's segments 2 and 3 was found. No hepatitis C virus or hepatitis B virus infection or cirrhosis was evident. After laparoscopic segmentectomy the histological examination revealed a hepatocellular carcinoma. While the relation between liver parenchyma damages and hepatocellular carcinoma or non-Hodgkin's lymphoma is well known, only a few publications have focused on the coexistence of hepatocellular carcinoma and non-Hodgkin's lymphoma. With this case we demonstrate the coexistence of these diseases without having a predamaged liver parenchyma.
authors.affiliation: Sabine Heidecke, Dirk L Stippel, Arnulf H Hoelscher, Department of General-, Visceral- and Cancer Surgery, University Hospital of Cologne, Cologne 50937, Germany.
authors.forename: Sabine
authors.initials: S
authors.lastname: Heidecke
authors.forename: Dirk L
authors.initials: DL
authors.lastname: Stippel
authors.forename: Arnulf H
authors.initials: AH
authors.lastname: Hoelscher
authors.forename: Inga
authors.initials: I
authors.lastname: Wedemeyer
authors.forename: Hans-Peter
authors.initials: HP
authors.lastname: Dienes
authors.forename: Uta
authors.initials: U
authors.lastname: Drebber