Multifocal visceral lymphoma

Case contributed by Dr Andrew Dixon

Presentation

Loss of weight and abdominal pain.

Patient Data

Age: 60 years
Gender: Male
CT

CT Abdomen

Large hypoattenuating homogenous well-defined lesion in segment IVa of the liver measuring 5.3 x 6.0 cm. Large soft tissue-density mass in the pancreatic head / neck / body measuring 4.5 x 8.3 cm which surrounds the portal confluence without compression or invasion. No pancreatic or bile duct dilatation. Three small low density splenic lesions. Multiple subtle hypoattenuating regions in both kidneys, most noticeable in the right upper pole posteriorly. Several prominent retroperitoneal lymph nodes are also present. 

Case Discussion

The sites of visceral involvement in this case are unusual for most forms of metastatic disease and raise the possibility of non-Hodgkin's lymphoma

Pathology

Biopsy was consistent with diffuse large B cell lymphoma.

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Case information

rID: 16513
Case created: 24th Jan 2012
Last edited: 3rd Aug 2017
Inclusion in quiz mode: Included

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