Malignant Lymphoma of the Common Bile Duct

Yasuhiko Nagano¹⁾³⁾, Tetsuo Abe¹⁾, Kei Itoh¹⁾, Kaoru Furushima¹⁾, Yukio Ishihara¹⁾, Motoko Hiratsuka²⁾⁴⁾, Masashi Fukayama²⁾⁵⁾

Department of Surgery¹⁾ and Department of Pathology²⁾, Kantoh Teishin Hospital
Department of Surgery, Itoh Onsen National Hospital³⁾
Second Department of Pathology, Niigata University School of Medicine⁴⁾
Department of Pathology, Jichi Medical University⁵⁾

A 70-year-old man was admitted to our hospital because his serum ALP, LDH and γ-GTP levels were elevated. Ultrasonography and computed tomography showed a 3×3 cm mass in the head of the pancreas. A pancreatic malignancy was strongly suspected from other extensive investigations with MRI, ERP, MR-cholangiography, and abdominal angiography. At laparotomy, a firm mass was found around the intrapancreatic bile duct, and it had invaded to the replaced right hepatic artery, therefore pancreaticoduodenectomy was performed. The final histological diagnosis was malignant lymphoma of the common bile duct, follicular, mixed cell type with B-cell nature. The patient was healthy with no evidence of recurrence for 3 years. Primary lymphoma of the common bile duct is extremely rate, and there have been only four detailed reports in the literature previously.

Key words
malignant lymphoma, common bile duct

Reprint requests
Yasuhiko Nagano Department of Surgeruy, Itoh Onsen National Hospital
222 Kamata, Itoh, 414-0054 JAPAN

Accepted
December 3, 1997

To read the PDF file you will need Abobe Reader installed on your computer.