Journal of Digestive Cancer Research

Korean Society of Gastrointestinal Cancer Research (대한소화기암연구학회)
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A Case of Primary Pancreatic Lymphoma Presenting with Obstructive Jaundice

  • Ga Young Kim (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Min Keun, Kim (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Dong Wook Lee (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Ho Gak Kim (Department of Internal Medicine, Catholic University of Daegu School of Medicine)
  • Received : 2015.11.21
  • Accepted : 2015.12.17
  • Published : 2015.12.31
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Abstract

A 55-year-old man was admitted to the hospital for jaundice. Computed tomography (CT) scans showed a diffuse mass in the pancreas and peripancreatic area, with infiltration to of the whole pancreas, and overall reduced enhancement compared to normal pancreas. Esophagogastroduodenoscopy revealed elevated mucosal lesion covered hyperemic mucosa at duodenal bulb and ulcerative lesion at body of stomach. Endoscopic ultrasonography revealed an irregular mass with unclear boundaries was observed within the pancreas. Abrupt narrowing of mid to distal common bile duct was seen and the stricture was caused by compression of pancreatic mass. Plastic stent was inserted and clinical improvement was achieved including resolution of jaundice. The patient is currently being treated with combination of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone. We report a case of primary pancreatic lymphoma presenting with obstructive jaundice.

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References

  1. Freeman C, Berg JW, Cutler SJ. Occurrence and prognosis of extranodal lymphomas. Cancer 1972;29:252-260.
  2. Nayer H, Weir EG, Sheth S, et al. Primary pancreatic lymphomas: a cytopathologic analysis of a rare malignancy. Cance. 2004;102:315-321.
  3. Zucca E, Roggero E, Bertoni F, et al. Primary extranodal non- Hodgkin's lymphomas. Part 1: Gastrointestinal , cutaneous and genitourinary lymphomas. Ann Oncol 1997;8:727-737.
  4. Lin H, Li SD, Hu XG, et al. World J Gastroenterol 2006;21:5064-5067.
  5. Saif MW. Primary pancreatic lymphomas. J Pancreas 2006;7:262-273.
  6. Merkle EM, Bender GN, Brambs HJ. Imaging findings in pancreatic lymphoma: differential aspects. AJR Am J Roentgenol 2000;174:671-675.
  7. Islam S, Callery MP. Primary pancreatic lymphoma-a diagnosis to remember. Surgery 2001;129:380-383.
  8. Boni L, Benevento A, Dionigi G, et al. Primary pancreatic lymphoma. SurgEndosc2002;16:1107-1108.
  9. Hermans J, Krol AD, van Groningen K, et al. International prognostic index for aggressive non-Hodgkin's lymphoma is valid for all malignancy grades. Blood 1995;15:1460-1463.