Letter to the Editor: “Primary lymphoma of the liver”

✍ Scribed by Geetha, N.; Ittyavirah, K.; Ajitkumar, T. V.; Sreedeviamma, N.; Nair, M. Krishnan

• Publisher: John Wiley and Sons
• Year: 1998
• Tongue: English
• Weight: 74 KB
• Volume: 30
• Category: Article
• ISSN: 0098-1532
• DOI: 10.1002/(sici)1096-911x(199804)30:4<261::aid-mpo10>3.0.co;2-m

✦ Synopsis

Extranodal non-Hodgkin lymphoma often involves sites such as the stomach, intestine, thyroid, breast, testes, and orbit [1]. Primary hepatic lymphoma (PHL) is rare compared to primary epithelial tumors and to secondary involvement by lymphoma or other cancers. Our experience with a patient with hepatic lymphoma is therefore worthy of note.

A 30-year-old female was referred to our hospital for evaluation of an epigastric mass noticed 2 months back. There was associated abdominal pain, fever, and weight loss. She gave a past history of rheumatoid arthritis and was on non-steroidal anti-inflammatory drugs. On physical examination, the patient was febrile, with no lymphadenopathy. A large smooth nontender mass of 10 cm, palpable in the epigastrium and hypochondrium, was consistent with a liver mass. Ascites were present. Other systems were normal. Liver function tests showed a serum bilirubin of 0.8 mg/dl, serum glutamic oxaloacetate transaminase (SGOT) Of 171 IU/L, serum glutamic pyruvate transaminase (SGPT) of 75 IU/L, and serum al-