Abstract
A 50-year-old woman was admitted to the hospital because of a slight abdominal pain. Abdominal computed tomography and ultrasonography showed a solid mass 4-cm in diameter in the body of the pancreas with swollen lymph nodes around it. Endoscopic retrograde cholangiopancreatography disclosed a stenosis of the main pancreatic duct with a branch joining it. Angiography showed a slight compression of the splenic artery. With a suspicion of anaplastic carcinoma or malignant lymphoma of the pancreas, a distal pancreatectomy was performed. The resected tumor was solid and 4×4×3cm in size. The pathological and immunohistochemical studies indicated diffuse large cell type (B cell) non-Hodgkin's lymphoma. On the 28th postoperative day, abdominal computed tomography revealed swollen abdominal lymph nodes and metastases in the liver, and the patient was transferred to another hospital for chemotherapy.
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