MRI features of a large lobulated hypoenhancing hepatic mass with very low ADC.
The patient underwent an ultrasound-guided biopsy, that confirms the diagnosis of a primary hepatic lymphoma (diffuse large B-cell lymphoma (DLBCL) in this case).
Primary hepatic lymphoma (PHL) is very rare, with approximately 100 described cases in the literature and accounts for <1% of all non-Hodgkin lymphomas.
it is primarily found in immunocompromised patients due to AIDS/HIV, congenital immunodeficiency, collagen vascular disease, and immunosuppressant therapy for organ transplant.
Diffuse large B-cell lymphoma is the most common histological subtype. Other histologic subtypes include:
Additional contributor: Dr. D Merazga, MD, Mezdaouet Clinic, Khenchela, Algeria