Castillo-García J, Montes de Oca-Orellana R, León-Merino G, Cartagena-Sotres E, Zubieta-O’Farrill G, Carballal-Lozada MF

Language: Spanish
References: 11
Page: 54-57
PDF size: 280.42 Kb.

ABSTRACT

The primary hepatic lymphoma is an unusual type of non-Hodgkin lymphoma that clinically manifests with consumption symptoms, hepatomegaly and jaundice with obstructive pattern, there is no presence of lymphadenomegaly, or extra-hepatic invasion in early stages. Its prevalence is approximately 4% of non-Hodgkin extra nodal lymphomas and 0.016% of all lymphomas. We present a 68-year-old woman who presented with colic, epigastric, abdominal pain, irradiated to the right upper quadrant, associated with nausea, vomit in multiple occasions, and 39 ^oC fever. After a full diagnostic workup, multiple hepatic lesions were identified and a left hepatectomy is performed. Pathology reported a type B giant cells diffuse lymphoma. non-Hodgkin lymphoma has a liver presentation in up to 40% of all cases, and generally as a late manifestation of the disease. Nonetheless, the primary hepatic lymphoma (PHL), without involvement of other organs is infrequent. Almost 67% of patients that present PHL are adult, with non-specific symptoms in 37%, such as abdominal pain, nausea, fever, weight loss, among others, like our patient who initiated with abdominal pain.

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