Primary splenic lymphoma presenting with ascites
| Autor: | Conor O'Riardon, Sarah Mahon, John B. Conneely, Oliver J. McAnena, N.A. Healy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Histology business.industry medicine.medical_treatment Splenectomy Follicular lymphoma Oncology Splenic Lymohoma Spleen Case Report Abdominal distension medicine.disease lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Epigastric pain primary splenic lymphoma lcsh:RC254-282 Surgery Lymphoma medicine.anatomical_structure Oncology Laparotomy Ascites medicine Radiology medicine.symptom business |
| Zdroj: | Rare Tumors, Vol 3, Iss 2, Pp e25-e25 (2011) Rare Tumors |
| ISSN: | 2036-3613 2036-3605 |
| Popis: | An 84 year-old gentleman presented with abdominal distension, anorexia and occasional epigastric pain over a four-week period. Blood parameters revealed a hypochromic microcytic anaemia. Both CT and US scan identified ascites and a mass in the left upper quadrant. An ascitic tap was performed identifying bloody ascites and the presence of reactive mesothelial cells on cytology. A subsequent laparotomy and splenectomy was performed. Histology of the resected spleen revealed a Grade 2 follicular lymphoma (Figure 2). The patient had an uneventful postoperative recovery and was well at 6 months follow up. The spleen is an organ with an important immunological function. Primary splenic involvement occurs in less than 1% of non-hodgkin’s lymphoma. Symptoms of primary splenic lymphoma (PSL) include pyrexia, weight-loss, night sweats, generalised weakness and left upper quadrant pain secondary to spleno - megaly. Ascites is a rare presenting feature of PSL. This report illustrates a case of primary splenic lymphoma which poses diagnostic challenges for the pathologist and clinician and ultimately requires definitive splenectomy to confirm a diagnosis. Figure 2Photograph of histology slide displaying the lymphoma at 10× magnification. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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