B P, K I, A A J, S G. Pancreatic Non-Hodgkin Lymphoma, a rare cause for obstructive jaundice. A Case reports.
Int J Surg Case Rep 2020;
78:369-371. [PMID:
33401192 PMCID:
PMC7787919 DOI:
10.1016/j.ijscr.2020.12.071]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 12/21/2020] [Accepted: 12/21/2020] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION
Primary pancreatic lymphoma (PPL) is an uncommon condition. Clinical features of PPL are nonspecific & likely to be misrecognized as pancreatic malignancy.
CASE PRESENTATION
71 years old male patient presented with upper abdominal pain with obstructive jaundice.
CLINICAL FINDINGS AND INVESTIGATIONS
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).
INTERVENTION AND OUTCOME
Complete remission of PPL occurred following six cycles of chemotherapy with R-CHOP regimen.
RELEVANCE AND IMPACT
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.
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