Diagnosis and treatment challenges in a patient with splenic tumor and chronic viral hepatitis.

Autor: Firulescu SC; Department of Internal Medicine, Emergency County Hospital Craiova, Romania., Săndulescu DL; Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania., Dinescu ŞC; Department of Internal Medicine, Emergency County Hospital Craiova, Romania., Gheonea IA; Radiology and Imaging Department, University of Medicine and Pharmacy Craiova, Romania., Purcarea RM; 'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania; 'Dr. Carol Davila' Clinical Hospital of Nephrology, Bucharest, Romania., Săndulescu SM; Surgery Department, Emergency County Hospital Craiova, Romania.
Jazyk: angličtina
Zdroj: Journal of medicine and life [J Med Life] 2015 Oct-Dec; Vol. 8 (4), pp. 467-70.
Abstrakt: Unlabelled: Non-Hodgkin lymphoma is a cancer of the lymphatic tissue located in various parts of the body: lymph nodes, spleen, thymus, adenoids, tonsils, and bone marrow. The disease occurs mainly in adults, with a higher incidence within the age range of 45 to 60 years. We present a clinical case of non-Hodgkin lymphoma diagnosed in a patient with chronic viral hepatitis B and D. The particularity of this case consists in the diagnosis of primitive spleen lymphoma, described in less than 1% of the cases, and also the difficult antiviral therapy recommendation for the liver disease, given the associated co-morbidity.
Abbreviations: NHL = Non-Hodgkin lymphoma, HDV = Hepatitis delta virus, HCV = Hepatitis C virus, HBV = Hepatitis B virus, CT = Computerized tomography, CEUS = Contrast enhanced ultrasonography, CHOP = cyclophosphamide, doxorubicin, vincristine, prednisone, R-CHOP = cyclophosphamide, doxorubicin, vincristine, prednisone and rituximab.
Databáze: MEDLINE