Title: Primary Splenic Diffuse Large B Cell Lymphoma: A Rare Case Report
Authors: Khethmal P, Swati Jindal
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.10
Abstract
Introduction
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.
Case History
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.
References
- Semra Ayturk et al, Primary Splenic DLBCL after splenectomy: A rare case with literature review, American Journal of Medical Case Reports, 2015, vol3 , No.8,p 265-268
- Hanumanthappa M.B. et al, Primary Splenic Lymphoma: A rare clinical case report, Journal of Clinical and Diagnostic Research 2011 December , Vol-5(8) p1667-1669
- Gobbi PG., Pozzetti U,et al. Primary splenic lymphoma ; does it exist? Hematologica 1994;79:286-293
- Nuala A Conneely J B, Mahon S, O Riardon C, McAnena OJ. Primary splenic lymphoma presenting with ascities. Rare tumors 2011
- Shao-Min H, Cheih-Lin T,Guan C, Che-An T Primary splenic lymphoma which was associated with haemophagocytic lymphohistiocytosis which was complicated with splenic rupture. J Chin Med Assoc 2008; 71(4):210-213