World journal of clinical oncology · 2024
Primary pancreatic lymphoma: A case report and review of literature.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Stojanovic Marko M, Brzacki Vesna, Marjanovic Goran, Nestorovic Milica, Zivadinovic Jelena, Krstic Miljan, Gmijovic Marko, Golubovic Ilija, Jovanovic Svetlana, Stojanovic Miroslav P, Terzic Katarina
Аннотация
BACKGROUND: Primary pancreatic lymphoma (PPL) is a rare tumor that mimics pancreatic adenocarcinoma, leading to diagnostic and therapeutic challenges. PPL accounts for 0.2% of all pancreatic tumors and is typically treated with chemotherapy. However, the long-term survival rates for PPL with chemotherapy and radiotherapy alone are unsatisfactory. Due to the improvements in pancreatic surgery, there is a need to reevaluate the treatment strategies for PPL.
CASE SUMMARY: A 62-year-old male presented to our clinic. A biopsy was unsuccessful, and the imaging was suggestive of pancreatic adenocarcinoma. Therefore, subtotal splenopancreatectomy was performed and histopathology was performed. He was then diagnosed with primary pancreatic diffuse large B-cell lymphoma. He received adjuvant chemotherapy and radiotherapy. Currently, the patient is alive with no evidence of disease 36 months after surgery.
CONCLUSION: The potential role of surgery in the treatment of PPL should be emphasized and added in the management protocol of early stage lymphoma.
CASE SUMMARY: A 62-year-old male presented to our clinic. A biopsy was unsuccessful, and the imaging was suggestive of pancreatic adenocarcinoma. Therefore, subtotal splenopancreatectomy was performed and histopathology was performed. He was then diagnosed with primary pancreatic diffuse large B-cell lymphoma. He received adjuvant chemotherapy and radiotherapy. Currently, the patient is alive with no evidence of disease 36 months after surgery.
CONCLUSION: The potential role of surgery in the treatment of PPL should be emphasized and added in the management protocol of early stage lymphoma.