Ozden I, Yavuz E, Acarli K, Karabulut L, Yöney E, Cevikbaş U, Alper A
Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Turkey.
Surg Today. 2000;30(4):376-9. doi: 10.1007/s005950050604.
We describe herein a female patient with non-Hodgkin's lymphoma of the liver and present a review of the related literature. The patient was referred with the diagnosis of malignant hemangiopericytoma (with an open biopsy). The physical examination, standard laboratory test results and tumor marker levels were all normal. A nonstandard left lobectomy was performed. Histopathological and immunohistochemical examinations revealed non-Hodgkin's lymphoma of B-cell type. The findings of a peripheral blood smear and bone marrow biopsy were normal. There was no other site of involvement based on physical or radiological examinations. These findings established the diagnosis of primary hepatic lymphoma. Fewer than 100 cases have been reported in the world literature. The best treatment results have been obtained by a resection followed by chemotherapy when feasible.
我们在此描述一名患有肝脏非霍奇金淋巴瘤的女性患者,并对相关文献进行综述。该患者因恶性血管外皮细胞瘤(经开放活检)的诊断而转诊。体格检查、标准实验室检查结果及肿瘤标志物水平均正常。实施了非标准左叶切除术。组织病理学和免疫组化检查显示为B细胞型非霍奇金淋巴瘤。外周血涂片和骨髓活检结果正常。体格检查或影像学检查未发现其他受累部位。这些发现确立了原发性肝脏淋巴瘤的诊断。世界文献报道的病例不足100例。可行时,手术切除后化疗可取得最佳治疗效果。