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Published on: July 31, 2016
Primary hepatic lymphoma presenting as pyogenic liver abscess: A case report
Zhi-Yang Xu1, Ying Pan1, Wen-Jing Ye1
1Department of Infectious Diseases, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 318000, Zhejiang Province, China.
Background:
Primary hepatic lymphoma (PHL) is a lymphoproliferative disorder confined to the liver without peripheral lymph node involvement and bone marrow invasion. PHL is extremely rare in clinical practice. The etiology and pathogenesis of PHL are largely unknown. There are no common standard protocols or guidelines for the treatment of PHL.
Case Summary:
We report the case of a 66-year-old man who presented with fever and abdominal pain for three weeks. Computed tomography and magnetic resonance imaging scans showed a pyogenic liver abscess. The patient underwent a right posterior hepatectomy. The surgical pathology revealed aggressive B-cell lymphoma, with a primary consideration of diffuse large B-cell lymphoma of non-germinal center origin.
Conclusion:
This article reviews the characteristics, mechanism and treatment of PHL and provides insight into the diagnosis of PHL.
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