A Case of Primary Splenic Malignant Lymphoma

Akihiko Tachibana, Eisuke Fukuma, Nobuyasu Kano, Tatsuo Yamakawa

Department of Surgery, Teikyo University Hospital at Mizonokuchi

A case of primary splenic malignant lymphoma and its rarity in the literature is presented in this paper. The patient, a 52-year-old man, was admitted to our hospital with the complaint of epigastralgia through his practitioners and a diagnosis of gastric submucosal tumor was made by an upper GI series. With examinations at our institution, no lesion was found in the stomach, but a tumor of the spleen was detected. Surgery performed under a diagnosis of a malignant tumor of the spleen. A tumor was exposed at the splenic hilum and invading the body of the stomach and the tail of the pancreas. Total gastrectomy with splenectomy and resection of the tail of the pancreas was performed. Histological study revealed a malignant lymphoma, diffuse medium sized type. It has been reported that the prognosis of primary splenic malignant lymphoma is extremely poor. The patient reported here, however, is leading a normal social life without any findings suggesting recurrence sign during four years after the surgery combined with postoperative adjuvant chemotherapy.

Key words
primary splenic malignant lymphoma, tumor of the spleen, malignant lymphoma

Reprint requests
Akihiko Tachibana Department of Surgery, Teikyo University Hospital at Mizonokuchi
74 Mizonokuchi, Takatsu-ku, Kawasaki, 213 JAPAN

Accepted
November 15, 1995

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