Ultrasonography combined with endoscopic ultrasound-guided fine-needle aspiration to diagnosis of primary pancreatic lymphoma: a case report

Author:

Zhang Jie1,Wen Hua1,Du Zhaozhao2,Fan Ling1,Li Jie1,Lu Ning2,Cui Manli2,Zhang Mingxin2

Affiliation:

1. Xi’an Medical University

2. The First Affiliated Hospital of Xi’an Medical University

Abstract

Abstract Background Primary pancreatic lymphoma (PPL) is an extremely rare disease with relatively non-specific clinical symptoms.It is easily overlooked and even misdiagnosed as pancreatic cancer.Clinically, we can rely on ultrasound or CT-guided aspiration for histopathological examination.These can avoid unnecessary dissection procedures and complications and reduce the lethality of lymphoma. Case presentation A 79-year-old woman was admitted to the hospital with "abdominal pain with cough for 1 month and worsening abdominal distension for 2 weeks".Abdominal CT/MRI: irregular soft tissue mass in the caudal region of the pancreatic body, multiple enlarged lymph nodes in the abdominal cavity and retroperitoneum, partially fused in the form of masses, metastasis was considered. Ultrasonography results: pancreatic cancer.Pathology of the abdominal mass puncture was suggestive of aggressive B-cell lymphoma.After pathological confirmation on November 20, 2021, she was transferred to the hematology department for chemotherapy with CHOP, CHOPE, and R-ESHAP regimens.She was stabilized after chemotherapy and then progressed and died in October 2022. Conclusions The diagnosis of PPL requires a multidisciplinary treatment model,full communication and in-depth discussion with all auxiliary and clinical departments to solve difficult problems, improve the level of treatment, promote individualized and standardized treatment of lymphoma, achieve early diagnosis and treatment, and thus reduce the mortality of lymphoma.

Publisher

Research Square Platform LLC

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3