Primary Splenic Lymphoma with Splenic Hilar Lymphadenopathy

Abstract

Splenic lymphoma can occur as a primary or secondary malignancy, but the latter form is more common. Primary splenic lymphoma is defined as lymphomatous involvement of the spleen with or without splenic hilar lymphadenopathy. It can present as splenomegaly with homogenous echogenicity without a focal lesion, a diffuse infiltrative lesion with miliary lesions, multiple focal nodular lesions, or as a large solitary mass. A 71-year-old woman presented with mild upper abdominal pain and a splenic mass. We visualized a hypoechoic splenic mass with splenic hilar lymphadenopathy on abdominal ultrasound. The patient underwent surgery and was diagnosed with splenic diffuse large B-cell lymphoma.