2013, Number 4
Primary non-Hodgkin lymphoma of the spleen and its laparoscopic management
Muñoz HJD, Baldin AV, Quirarte CC, Ávila GACP, Muñoz GJR, Vidal GVM
Full text
Language: Spanish
References: 7
Page: 196-
PDF size: 212.14 Kb.
ABSTRACT
Introduction: 50 to 60% of patients with non-Hodgkin lymphomas have splenic involvement, however, the primary condition of the spleen showed less than 1% incidence, which makes diagnosis difficult to establish due to the low frequency of the disease. The clinical picture of primary lymphoma of the spleen may be variable, usually with nonspecific symptoms, including data of abdominal pain, weight loss, fever, and splenomegaly. Clinical case study: Female 70 years old; presents abdominal pain in left hypochondrium, intensity 5/10, continuous irradiation with ipsilateral scapular region, accompanied by bloating and heartburn unrelated to food, in addition to nighttime reflux. Abdominal ultrasound and computed tomography which report splenomegaly, hematoma versus neoplasia: approx. 84 x 82 x 48 mm. It was decided to conduct surgical, laparoscopic splenectomy performed. Histopathological report: non-Hodgkin lymphoma of germinal center B cell type. The patient progressed satisfactorily without complications. Conclusions: Primary spleen lymphoma is a rare disease, and the diagnosis is even more difficult due to unspecific symptoms; however, imaging studies are a very important tool support. The treatment of choice is splenectomy, which is diagnostics and therapeutics. The laparoscopic approach proves to be a feasible and safe method when performed by a surgical team experienced in minimally invasive surgery.REFERENCES