CASE REPORT
A Resected Case of Hepatic Lymphoplasmacytic Lymphoma in a Patient with Chronic Hepatitis B Virus Infection
Suguru Yamada1), Hiroyuki Suenaga1), Kozo Kiriyama1), Masaki Wada1), Kenji Taniguchi1), Atsushi Hirai1), Kishiko Goto2), Tsutomu Fujii3), Shin Takeda3) and Akimasa Nakao3)
1)Department of Surgery and 2)Department of Pathology, Komaki Municipal Hospital, 3)Department of Surgery II, Graduate School and Faculty of Medicine, University of Nagoya
A 60-year-old woman followed up for arrhythmia, hypertension, and chronic hepatitis B was found to have a mass in the left liver on abdominal ultrasonography. Further examinations showed a tumor 40×30 mm in diameter at segment III of the liver, and hepatocellular carcinoma was suspected. The lateral segmentectomy of the liver was done. Pathological findings for the tumor showed lymphoplasmacytic lymphoma. No lesions other than those in the liver were seen, so she was diagnosed as having primary hepatic malignant lymphoma, which is comparatively rare. This is the 19th resected case of primary hepatic malignant lymphoma reported in the Japanese literature, and the second resected case of hepatic lymphoplasmacytic lymphoma. If the tumor is localized in the liver, it would appear most effective to conduct both surgical resection and chemotherapy.
Key words
primary hepatic malignant lymphoma, chronic hepatitis B, lymphoplasmacytic lymphoma
Jpn J Gastroenterol Surg 37: 669-674, 2004
Reprint requests
Suguru Yamada Department of Surgery, Komaki Municipal Hospital
1-20 Jobushi, Komaki-city, 485-8520 JAPAN
Accepted
January 28, 2004
|
To read the PDF file you will need Abobe Reader installed on your computer. |
|