Abstract
Lymphomatous involvement of liver is common in lymphoma, but primary non Hodgkin's liver lymphoma is a rare entity. We present a case report of a middle aged male who was diagnosed with primary liver lymphoma after a long and exhaustive work up. Symptoms initially improved with chemotherapy but presented fifteen months later with central nervous system and vertebral dissemination. Primary liver lymphoma, even though rare should be kept in differentials of multiple space occupying lesions of liver with no evidence of vascular invasion, especially if there is no associated lymphadenopathy or spleen involvement.
Highlights
Lymphomatous involvement of liver is common in lymphoma, but primary non Hodgkin’s liver lymphoma is a rare entity
Fig. 1. — Axial CECT of the abdomen in portal venous phase shows multiple well defined hypodense mildly enhancing nodules distributed in both lobes of liver displacing vessels with no evidence of vascular invasion or thrombosis and biliary was negative for HIV and hepatitis B
He was referred to radiology section for Computed Tomography (CT) Alpha-feto protein (AFP) and carcino myeloproliferative disorder, bone whole abdomen
Summary
Lymphomatous involvement of liver is common in lymphoma, but primary non Hodgkin’s liver lymphoma is a rare entity. We present a case report of a middle aged male who was diagnosed with primary liver lymphoma after a long and exhaustive work up. Symptoms initially improved with chemotherapy but presented fifteen months later with central nervous system and vertebral dissemination. Even though rare should be kept in differentials of multiple space occupying lesions of liver with no evidence of vascular invasion, especially if there is no associated lymphadenopathy or spleen involvement. Key-words: Liver neoplasms, diagnosis – Lymphoma, diagnosis
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