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A malignant stage IV lymphoma, suggesting primary hepatic lymphoma

山口医学 Volume 45 Issue 3 Page 201-208
published_at 1996-06
Title
肝原発が示唆されたStage IV の悪性リンパ腫の1例
A malignant stage IV lymphoma, suggesting primary hepatic lymphoma
Creators Kubo Keiko
Creators Yamasaki Takahiro
Creators Yasunaga Mitsuru
Creators Okita Kiwamu
Creators Wada Takako
Creators Seguchi Masato
Creators Tsuruta Ryohei
Creators Murakami Fujio
Creators Tateishi Akio
Creators Maekawa Tsuyoshi
Creators Takahashi Mutsuo
Source Identifiers
Creator Keywords
悪性リンパ腫 stageIV 肝腫瘤
A 24-year-old man was admitted with a six-month history of fever. On admission, a solitary large mass was detected in the liver, along with multiple nodules in the bilateral lungs. At first, various studies suggested a liver abscess and septic embolism of the lung. However, histological examination of the liver mass and pleural effusion indicated a diagnosis of T cell malignant lymphoma classified into the diffuse large cell type. Chemotherapy was performed, but the patient died without it's effect. There is no doubt that it is difficult to confirm the primary focus of stage IV lymphoma. However, we suspected that the correct diagnosis in this case was primary hepatic lymphoma, because a solitary large mass was seen and it's histological feature was compatible with T cell type primary hepatic lymphoma with extensive hemorrhagic necrosis. Although primary hepatic lymphoma is extremely rare, this disease should be kept in mind in differential diagnosis of a patient with a liver tumor.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1996-06
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部