Date of Publication: 30-Nov--0001
Anusual Presentation of High Grade Lymphoma
Author: Younes Cherradi, Anass Abir, Ihlam El Hardouni, Omar Benzekri, Said Benhaddou
Category: JMSR Oncology
A 41 years old patient was admitted in Medicine Department for intense jaundice with important weight loss. Clinical examination found multiple parietal nodes. Abdominal ultrasonography showed dilation of intra hepatic biliary ducts and common biliary duct; head of pancreas was heterogeneous with presence of hepatic nodes. Diagnosis of metastatic pancreatic cancer has been retained first. CT scan revealed an unusual aspect of multiple nodes with central necrosis and peripheral enhancement in all pancreas body (wight arrow) but also in abdominal and dorsal wall (red arrows) . Diagnosis of diffuse tuberculosis has been evocated. We performed surgical biopsies of parietal nodes. Pathological study concluded to high grade lymphoma . Indication of chemotherapy after biliary stenting has been retained.
Keywords: Anusual, Lymphoma.