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Malignant lymphoma imitating hepatitis

A C Harris1, M J Kornstein

  • 1Department of Pathology, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298.

Cancer
|April 15, 1993
PubMed
Summary
This summary is machine-generated.

Lymphoma can affect the liver and spleen, mimicking hepatitis. This study found diverse lymphoma types, including B-cell and T-cell origins, presenting as primary liver dysfunction.

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Area of Science:

  • Hepatology
  • Oncology
  • Immunology

Background:

  • Liver involvement in lymphoma is common, often disseminated.
  • Primary liver lymphoma and hepatosplenic lymphoma are less frequent causes.
  • Hepatosphenic lymphoma is a recently described T-cell lymphoma.

Observation:

  • Three autopsy cases presented with hepatitis-like symptoms, including jaundice and elevated liver enzymes.
  • Clinical presentation mimicked hepatitis, with absent lymphadenopathy.
  • Lymphoma was an unexpected autopsy finding after rapid clinical deterioration.

Findings:

  • Diffuse portal lymphomatous infiltration of the liver and spleen was observed.
  • Cytologic subtypes included small cleaved cell and large cell lymphomas.
  • Immunophenotyping revealed both B-cell and T-cell lymphomas, with one large cell lymphoma expressing CD15.

Implications:

  • Hepatosplenic lymphoma can present as primary hepatic dysfunction.
  • Lymphoma involving the liver and spleen shows diverse cytologic and immunologic characteristics.
  • This challenges previous assumptions about hepatosplenic T-cell lymphoma.