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Primary hepatic lymphoma: A case report.

Trupti S Patel1, Rujuta Malvania1, Majal C Shah1

  • 1Department of Pathology, MP Shah Cancer Hospital, Gujarat Cancer and Research Institute, Ahmadabad, Gujarat, India.

Journal of Cytology
|May 8, 2015
PubMed
Summary

Primary hepatic lymphoma (PHL) is a rare liver cancer. This case report highlights PHL diagnosis in a patient with a liver mass and normal AFP, emphasizing fine needle aspiration cytology.

Keywords:
Cytologylivernon-Hodgkin lymphomaprimary hepatic lymphoma

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Area of Science:

  • Hepatology
  • Oncology
  • Pathology

Background:

  • Primary non-Hodgkin lymphoma (NHL) of the liver is exceptionally rare.
  • Differentiating liver malignancies from other space-occupying lesions can be challenging.

Observation:

  • A 60-year-old male presented with abdominal pain and a palpable mass.
  • Imaging revealed an ill-defined liver mass with calcifications.
  • The patient exhibited altered liver function but normal alpha-fetoprotein (AFP), hemogram, and bone marrow biopsy.

Findings:

  • Diagnosis of primary hepatic lymphoma (PHL) was confirmed via cytology and immunohistochemistry.
  • The case presented unique features including negative viral serology and normal lactate dehydrogenase (LDH).

Implications:

  • PHL should be considered in the differential diagnosis of liver space-occupying lesions, especially with normal AFP levels.
  • Fine needle aspiration cytology offers a rapid and safe diagnostic approach for suspected PHL.