Open AccessPrimary pancreatic anaplastic large cell lymphoma, ALK negative: A case report
Author(s) -
Christos Savopoulos,
NE Tsesmeli,
GD Kaiafa,
AT Zantidis,
MT Bobos,
AI Hatzitolios,
ST Papavramidis,
IS Kostopoulos
Publication year - 2005
Publication title -
world journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v11.i39.6221
Subject(s) - medicine , anaplastic large cell lymphoma , laparotomy , pancreas , pancreatic mass , pathology , lymphoma , large cell , gastroenterology , radiology , adenocarcinoma , cancer
We present the fourth case of a primary pancreatic anaplastic large cell lymphoma (ALCL), ALK-. An 80-year-old man was admitted to our clinic for further investigation of a fever of unknown origin. He noted anorexia, weight loss and fatigue. His laboratory tests showed anemia and a great elevation of ESR, LDH, and beta (2) microglobulin. In CT and MRI scan, a soft tissue mass in the pancreas was observed. A repeated endoscopy after his admission revealed an ulcerated mass-like deformity of the duodenal bulb. Explorative laparotomy confirmed a diffuse spread of an unresectable malignant pancreatic mass extending to the adjacent organs. Duodenal and surgical biopsies identified an ALCL of T-cell lineage, ALK-. The patient died in the Intensive Care Unit due to hemodynamic instability. Our case is the first one indicating that primary pancreatic lymphoma should be suspected in a patient with pancreatic mass and elevated serum LDH and beta(2) microglobulin.