Pancreatic Non-Hodgkin Lymphoma, a rare cause for obstructive jaundice. A Case reports.

Diagnosis Primary pancreatic lymphoma Treatment (R-CHOP regimen)

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 08 11 2020
revised: 21 12 2020
accepted: 21 12 2020
pubmed: 6 1 2021
medline: 6 1 2021
entrez: 5 1 2021
Statut: ppublish

Résumé

Primary pancreatic lymphoma (PPL) is an uncommon condition. Clinical features of PPL are nonspecific & likely to be misrecognized as pancreatic malignancy. 71 years old male patient presented with upper abdominal pain with obstructive jaundice. Examination reveals RHC tenderness and deep icteric. CT shows a large pancreatic head and uncinate process mass. Final diagnosis made with USS guided core biopsy which confirmed B cell, Non-Hodgkin Lymphoma (NHL). Complete remission of PPL occurred following six cycles of chemotherapy with R-CHOP regimen. PPL is rare condition, accounts 1% of extra nodal lymphomas and 0.5% of malignant pancreatic neoplasm. Ultrasonography, Endoscopic ultrasonography, CT and MRI are the imaging modalities use to diagnose the pancreatic neoplasm. Biopsy of all pancreatic lesion is crucial which can diagnose curable condition such as PPL. Combined therapy with chemotherapy and radiotherapy without surgery is advisable for PPL.

Identifiants

pubmed: 33401192
pii: S2210-2612(20)31261-X
doi: 10.1016/j.ijscr.2020.12.071
pmc: PMC7787919
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

369-371

Informations de copyright

Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.

Auteurs

Pragalathan B (P)

Professorial Surgical Unit, University of Jaffna, Sri Lanka. Electronic address: bpragalathan@yahoo.com.

Indranath K (I)

Teaching Hospital Jaffna, Sri Lanka. Electronic address: kavithaindranath@gmail.com.

Jenil A A (J)

Base Hospital Point Pedro, Sri Lanka. Electronic address: aantonjenil@gmail.com.

Gobishangar S (G)

Professorial Surgical Unit, University of Jaffna, Sri Lanka. Electronic address: sgobishangar@univ.jfn.ac.lk.

Classifications MeSH