Title: Primary Splenic Diffuse Large B Cell Lymphoma: A Rare Case Report
Authors: Khethmal P, Swati Jindal
Primary splenic lymphoma is a rare neoplasm of the spleen1,2. Here we present a case of primary splenic diffuse large B cell lymphoma in a 69 year old male.
A 69 year old man presented with left side abdominal pain of 6 month duration. On examination spleen palpable 5cm below left costal margin, firm in consistency with rounded margin non tender. Right inguinal lymph node enlargement 2x1cm.
Peripheral Smear: Neutrophilic leukocytosis
FNAC lymph node shows reactive hyperplasia.
USG: Massive splenomegaly with multiple focal small sized lesions.
CECT: Multiple lesions in spleen with massive splenomegaly suggestive of splenic abscess.
Splenectomy was done. Gross examination show Spleen nodularly enlarged. Cut section shows multiple irregularly gray white nodules.