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Published on: June 17, 2018
Primary duodenal papilla lymphoma producing obstructive jaundice: a case report
Jicai Wang1, Jiantao Han2, Hanbing Xu2
1Department of Hepatopancreatobiliary, Thyroid and Vascular Surgery, Wuhan Third Hospital (Tongren Hospital of Wuhan University), No. 241 Pengliuyang Road, Wuchang, Wuhan, 430060, Hubei, China. wangjicai0927@hotmail.com.
Background:
Obstructive jaundice caused by primary duodenal lymphoma is a rare disease.
Case Presentation:
We reported a 59-year-old man who underwent endoscopic ultrasonography for obstructive jaundice and found a duodenal papilla tumor. Light microscopy revealed a non-Hodgkin's lymphoma. Immunohistochemical staining showed that the tumor was aggressive B-cell lymphoma. We carried out molecular targeted therapy combined with CHOP regimen chemotherapy.
Conclusion:
Surgery plays an important role in resolving obstructive jaundice when accurate histological diagnosis cannot be made. After diagnosis, chemotherapy should play a central role in treatment.
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