[A case of primary malignant lymphoma of the spleen which was difficult to be diagnosed].
A 55-year-old woman who had a chief complaint of left abdominal and back pain. She was diagnosed with pancreatic cancer associated with splenic metastasis (Stage IVb) by CT and MRI study and was treated with chemotherapy of gemcitabine (GEM). Chemotherapy was discontinued due to adverse event (grade 3). CT study at this point reveals the effectiveness of GEM. The tumor was localized, and an operation was performed. The tumor was diagnosed as primary malignant lymphoma (diffuse large B-cell lymphoma) of the spleen. The splentic tumor is extremely rare, so a surgical treatment was indicated for making a correct diagnosis. This was an interesting case of malignant lymphoma that GEM revealed a cytoreductive result.
Dept. of Surgery, Hasuda Hospital.
Tsuyoshi
T
Yoshida
Haruhiko
H
Aoyagi
Noriko
N
Iwata
Eriko
E
Katsuta
Taro
T
Takahata
Kumi
K
Hasegawa
Jun
J
Kaneko
Shizuaki
S
Maejima
Jun
J
Isogai
D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D013160:Splenic Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed