NonHodgkin's Lymphoma with Peritoneal Localization

The gastrointestinal tract is the most common extranodal site involved with lymphoma accounting for 5–20% of all cases. Lymphoma can occur at any site of the body, but diffuse and extensive involvement of the peritoneal cavity is unusual and rare. We report a case of diffuse large B-cell lymphoma in...

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Main Authors: E. Curakova, M. Genadieva-Dimitrova, J. Misevski, V. Caloska-Ivanova, V. Andreevski, B. Todorovska, U. Isahi, M. Trajkovska, P. Misevska, N. Joksimovic, S. Genadieva-Stavric, S. Antovic, N. Jankulovski
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2014/723473
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author E. Curakova
M. Genadieva-Dimitrova
J. Misevski
V. Caloska-Ivanova
V. Andreevski
B. Todorovska
U. Isahi
M. Trajkovska
P. Misevska
N. Joksimovic
S. Genadieva-Stavric
S. Antovic
N. Jankulovski
author_facet E. Curakova
M. Genadieva-Dimitrova
J. Misevski
V. Caloska-Ivanova
V. Andreevski
B. Todorovska
U. Isahi
M. Trajkovska
P. Misevska
N. Joksimovic
S. Genadieva-Stavric
S. Antovic
N. Jankulovski
author_sort E. Curakova
collection DOAJ
description The gastrointestinal tract is the most common extranodal site involved with lymphoma accounting for 5–20% of all cases. Lymphoma can occur at any site of the body, but diffuse and extensive involvement of the peritoneal cavity is unusual and rare. We report a case of diffuse large B-cell lymphoma in a 57-year-old female infiltrating the peritoneum and omentum and presenting with ascites and pleural effusion. The performed examinations did not discover any pathological findings affecting the digestive tract or parenchymal organs, except for diffuse thickening of the peritoneum and omentum. Peripheral, mediastinal, or retroperitoneal lymphadenopathy was not registered. The blood count revealed only elevated leukocytes and on examination there were no immature blood cells in the peripheral blood. The cytology from the ascites and pleural effusion did not detect any malignant cells. Due to the rapid disease progression the patient died after twenty-two days of admission. The diagnosis was discovered postmortem with the histological examination and immunohistochemical study of the material taken during the surgical laparoscopy performed four days before the lethal outcome. Although cytology is diagnostic in most cases, laparoscopy with peritoneal biopsy is the only procedure which can establish the definitive diagnosis of peritoneal lymphomatosis.
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-d561e6bc08c94280825fb0d79ad39f902025-02-03T05:43:51ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/723473723473NonHodgkin's Lymphoma with Peritoneal LocalizationE. Curakova0M. Genadieva-Dimitrova1J. Misevski2V. Caloska-Ivanova3V. Andreevski4B. Todorovska5U. Isahi6M. Trajkovska7P. Misevska8N. Joksimovic9S. Genadieva-Stavric10S. Antovic11N. Jankulovski12University Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Gastroenterohepatology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Hematology, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Digestive Surgery, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaUniversity Clinic of Digestive Surgery, Medical Faculty, Ss. Cyril and Methodius University, Mother Teresa 17, 1000 Skopje, MacedoniaThe gastrointestinal tract is the most common extranodal site involved with lymphoma accounting for 5–20% of all cases. Lymphoma can occur at any site of the body, but diffuse and extensive involvement of the peritoneal cavity is unusual and rare. We report a case of diffuse large B-cell lymphoma in a 57-year-old female infiltrating the peritoneum and omentum and presenting with ascites and pleural effusion. The performed examinations did not discover any pathological findings affecting the digestive tract or parenchymal organs, except for diffuse thickening of the peritoneum and omentum. Peripheral, mediastinal, or retroperitoneal lymphadenopathy was not registered. The blood count revealed only elevated leukocytes and on examination there were no immature blood cells in the peripheral blood. The cytology from the ascites and pleural effusion did not detect any malignant cells. Due to the rapid disease progression the patient died after twenty-two days of admission. The diagnosis was discovered postmortem with the histological examination and immunohistochemical study of the material taken during the surgical laparoscopy performed four days before the lethal outcome. Although cytology is diagnostic in most cases, laparoscopy with peritoneal biopsy is the only procedure which can establish the definitive diagnosis of peritoneal lymphomatosis.http://dx.doi.org/10.1155/2014/723473
spellingShingle E. Curakova
M. Genadieva-Dimitrova
J. Misevski
V. Caloska-Ivanova
V. Andreevski
B. Todorovska
U. Isahi
M. Trajkovska
P. Misevska
N. Joksimovic
S. Genadieva-Stavric
S. Antovic
N. Jankulovski
NonHodgkin's Lymphoma with Peritoneal Localization
Case Reports in Gastrointestinal Medicine
title NonHodgkin's Lymphoma with Peritoneal Localization
title_full NonHodgkin's Lymphoma with Peritoneal Localization
title_fullStr NonHodgkin's Lymphoma with Peritoneal Localization
title_full_unstemmed NonHodgkin's Lymphoma with Peritoneal Localization
title_short NonHodgkin's Lymphoma with Peritoneal Localization
title_sort nonhodgkin s lymphoma with peritoneal localization
url http://dx.doi.org/10.1155/2014/723473
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AT vandreevski nonhodgkinslymphomawithperitoneallocalization
AT btodorovska nonhodgkinslymphomawithperitoneallocalization
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