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Updated: Jun 6, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
[An exceptional hepatic tumor]
Mona Mlika1, Yosra Zidi-Moaffak, Faten Farah
1Service d'Anatomie Pathologique, Hôpital Charles Nicolle, Tunis.
Background:
Hepatic localization of non Hodgkin's lymphoma is generally secondary. Primary localizations are rare.
Aim:
To report a rare case of primary hepatic lymphoma particular by its association with dermatopolymyositis.
Observation:
A 55-year-old woman with a past medical history of dermatopolymyositis diagnosed one year before presented with abdominal pain and fever. Laboratory tests showed pancytopenia. Radiologic examination revealed multiple hepatic masses. Surgical biopsy revealed a large B cell hepatic lymphoma. No other localizations were found so the diagnosis of primary hepatic lymphoma was retained. The patient died after a few days due to a severe sepsis.
Conclusion:
Primary hepatic lymphoma is a rare tumor with a bad prognosis. Its diagnosis is based on histologic examination. Treatment of these tumors remains non consensual.

