Primary Pancreatic Lymphoma Masquerading as Carcinoma
Adenocarcinoma is the most common primary pancreatic neoplasm type, followed by secondary pancreatic lymphoma and primary pancreatic lymphoma (PPL). PPL is associated with peripancreatic lymphadenopathy and usually presents as a homogenous mass with extrapancreatic invasion into surrounding structur...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/5160545 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832561335471177728 |
|---|---|
| author | Nasser A. N. Alzerwi |
| author_facet | Nasser A. N. Alzerwi |
| author_sort | Nasser A. N. Alzerwi |
| collection | DOAJ |
| description | Adenocarcinoma is the most common primary pancreatic neoplasm type, followed by secondary pancreatic lymphoma and primary pancreatic lymphoma (PPL). PPL is associated with peripancreatic lymphadenopathy and usually presents as a homogenous mass with extrapancreatic invasion into surrounding structures. However, localized involvement of the distal pancreas is uncommon, and diffuse involvement of the pancreas is even rarer. Herein, we present the case of a 53-year-old woman with PPL of the uncinate process with biliary obstruction mimicking pancreatic adenocarcinoma, successfully diagnosed nonoperatively. Abdominal computed tomography showed an ill-defined uncinate process mass, hypodense with mild enhancement (3.9×3.4×3.5 cm), infiltrating the second and third parts of the duodenum. Biopsy revealed NHL with no evidence of adenocarcinoma. PPL was diagnosed. She received chemotherapy with a CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) protocol with rituximab, which she tolerated with no clinical or radiological evidence of recurrence at 1-year follow-up. |
| format | Article |
| id | doaj-art-0a4eed75e5e1443ab519efa5e9f3bf51 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-0a4eed75e5e1443ab519efa5e9f3bf512025-02-03T01:25:19ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/51605455160545Primary Pancreatic Lymphoma Masquerading as CarcinomaNasser A. N. Alzerwi0Department of Surgery, College of Medicine, Majmaah University, Ministry of Education, Al-Majmaah City, 11952, P. O. Box 66, Riyadh Region, Saudi ArabiaAdenocarcinoma is the most common primary pancreatic neoplasm type, followed by secondary pancreatic lymphoma and primary pancreatic lymphoma (PPL). PPL is associated with peripancreatic lymphadenopathy and usually presents as a homogenous mass with extrapancreatic invasion into surrounding structures. However, localized involvement of the distal pancreas is uncommon, and diffuse involvement of the pancreas is even rarer. Herein, we present the case of a 53-year-old woman with PPL of the uncinate process with biliary obstruction mimicking pancreatic adenocarcinoma, successfully diagnosed nonoperatively. Abdominal computed tomography showed an ill-defined uncinate process mass, hypodense with mild enhancement (3.9×3.4×3.5 cm), infiltrating the second and third parts of the duodenum. Biopsy revealed NHL with no evidence of adenocarcinoma. PPL was diagnosed. She received chemotherapy with a CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) protocol with rituximab, which she tolerated with no clinical or radiological evidence of recurrence at 1-year follow-up.http://dx.doi.org/10.1155/2020/5160545 |
| spellingShingle | Nasser A. N. Alzerwi Primary Pancreatic Lymphoma Masquerading as Carcinoma Case Reports in Oncological Medicine |
| title | Primary Pancreatic Lymphoma Masquerading as Carcinoma |
| title_full | Primary Pancreatic Lymphoma Masquerading as Carcinoma |
| title_fullStr | Primary Pancreatic Lymphoma Masquerading as Carcinoma |
| title_full_unstemmed | Primary Pancreatic Lymphoma Masquerading as Carcinoma |
| title_short | Primary Pancreatic Lymphoma Masquerading as Carcinoma |
| title_sort | primary pancreatic lymphoma masquerading as carcinoma |
| url | http://dx.doi.org/10.1155/2020/5160545 |
| work_keys_str_mv | AT nasseranalzerwi primarypancreaticlymphomamasqueradingascarcinoma |