A Case Report of Primary Malignant Lymphoma of the Spleen with Metastasis to the Small Intestine

Kenju Ko, Susumu Fujioka, Kenji Kato, Yuichi Machiki, Kiyoshi Aikawa, Mizuo Hashimoto, Yukihiro Yokoyama, Akira Ishikawa, Gen Sugawara and Katsue Yoshida^*

Department of Surgery and Pathology^*, Kiryu Kosei General Hospital

A patient with primary malignant lymphoma of the spleen with metastasis to the small intestine was treated by open surgery and chemotherapy. The patient was a 61-year-old female with weight loss, appetite loss, and a left hypochondral tumor. An abdominal ultrasonography and a computed tomography showed a tumor filling entire spleen. Ga scintigraphy revealed strong accumulation in the spleen. The serum lactate dehydrogenase level was elevated to 866 IU/l. A preoperative diagnosis of primary malignant lymphoma of the spleen was made, and surgery was scheduled. There were four distant metastases to the small intestine. Splenectomy and partial resection of the small intestine were performed. Chemotherapy was administered postoperatively. The patient is now doing well, and there has been no signs of recurrence in 14 months after operation.

Key words
primary malignant lymphoma of the spleen, metastasis of malignant lymphoma to the small intestine

Reprint requests
Kenju Ko Department of surgery, Kiryu Kosei General Hospital 6-3 Orihime-cho, Kiryu, 376-0024 JAPAN

Accepted
October 14, 1998

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