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Primary extranodal non‐Hodgkin'S lymphoma of the extrahepatic bile ducts report of a case
Author(s) -
Nguyen GiaKhanh
Publication year - 1982
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19821115)50:10<2218::aid-cncr2820501041>3.0.co;2-4
Subject(s) - medicine , laparotomy , infiltration (hvac) , jaundice , lymphoma , bile duct , cholestasis , common bile duct , epigastric pain , biopsy , abdominal pain , pathology , radiology , vomiting , physics , thermodynamics
A previously healthy, 59‐year‐old man suddenly developed epigastric pain followed by jaundice. Extensive clinical investigations suggested that the patient had a sclerosing cholangitis. At laparotomy, the extrahepatic bile ducts near their confluence were found markedly thickened. A biopsy specimen was obtained from the common bile duct. It showed a diffuse lymphohistiocytic infiltration, suggesting a lymphomatous infiltration. No evidence of a lymphoma was found in the abdominal cavity or in the retroperitoneal spaces. The clinical consensus at that time was that the patient had a primary sclerosing cholangitis involving the extrahepatic bile ducts. Biliary obstruction was released. Five months later, the patient developed a disseminated lymphoma, lymphohistiocytic, diffuse in type.