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[A Case Report of Inguinal Malignant Lymphoma after Surgery for Hepatocellular Carcinoma]

Yuki Ohzato1, Masahiro Murakami, Junzo Shimizu

  • 1Dept. of Surgery, Osaka Rosai Hospital.

Gan to Kagaku Ryoho. Cancer & Chemotherapy
|February 4, 2018
PubMed

Insights

This case study highlights an unusual inguinal malignant lymphoma diagnosis in an 81-year-old woman with a history of hepatitis C and liver cancer. The lymphoma was discovered after treatment for hepatitis C virus (HCV) and hepatocellular carcinoma (HCC).

Area of Science:

  • Hepatology
  • Oncology
  • Pathology

Background:

  • An 81-year-old woman with a history of hypertension and appendicitis was monitored for chronic hepatitis C (HCV) since 1994.
  • The patient underwent surgery for hepatocellular carcinoma (HCC) in 2014 and received antiviral treatment for HCV (ledipasvir-sofosbuvir) starting in December 2015.
  • HCV-RNA clearance was confirmed in January 2016.

Observation:

  • In September 2016, an abdominal mass was detected via enhanced CT and physical examination in the right lower quadrant.
  • PET-CT revealed no significant abnormalities other than the abdominal mass.
  • Differential diagnoses included HCC metastasis, abdominal wall tumor, or malignant lymphoma.

Findings:

  • An inguinal mass was surgically resected for diagnostic confirmation.
  • Histopathological examination confirmed the mass as diffuse large B-cell lymphoma.
  • This represents an inguinal malignant lymphoma in a patient with a history of chronic HCV and prior hepatectomy.

Implications:

  • This case underscores the importance of considering extranodal lymphomas in patients with chronic viral hepatitis and a history of liver disease.
  • It highlights a rare presentation of diffuse large B-cell lymphoma in the inguinal region.
  • Further research may explore potential links between chronic HCV, oncogenesis, and the development of non-Hodgkin lymphoma.

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