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Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report

BACKGROUND: Primary liver cancer is one of the most common malignant tumours, while primary splenic lymphoma is a rare malignancy. Thus, cases of hepatocellular carcinoma (HCC) combined with splenic lymphoma are extremely rare. CASE SUMMARY: We present a 62-year-old woman who was admitted to the Int...

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Autores principales: Wu, Fa-Zong, Chen, Xiao-Xiao, Chen, Wei-Yue, Wu, Qiao-Hong, Mao, Jian-Ting, Zhao, Zhong-Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561559/
https://www.ncbi.nlm.nih.gov/pubmed/36246796
http://dx.doi.org/10.12998/wjcc.v10.i28.10130
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author Wu, Fa-Zong
Chen, Xiao-Xiao
Chen, Wei-Yue
Wu, Qiao-Hong
Mao, Jian-Ting
Zhao, Zhong-Wei
author_facet Wu, Fa-Zong
Chen, Xiao-Xiao
Chen, Wei-Yue
Wu, Qiao-Hong
Mao, Jian-Ting
Zhao, Zhong-Wei
author_sort Wu, Fa-Zong
collection PubMed
description BACKGROUND: Primary liver cancer is one of the most common malignant tumours, while primary splenic lymphoma is a rare malignancy. Thus, cases of hepatocellular carcinoma (HCC) combined with splenic lymphoma are extremely rare. CASE SUMMARY: We present a 62-year-old woman who was admitted to the Interventional Radiology Department with a lump in the spleen and liver as well as multiple enlarged lymph nodes visible by ultrasound. Contrast-enhanced computed of the abdomen revealed a circular, low-density, shallow mass (approximately 2.6 cm in diameter) in the left intrahepatic lobe and multiple round, low-density shadows in the spleen with clear boundaries (maximum diameter 7.6 cm). Based on the characteristic clinical symptoms and explicit radiological findings, the clinical diagnosis was HCC with metastasis to the liver portal, retroperitoneal lymph nodes, and spleen. After transcatheter arterial chemoembolization and sequential radiofrequency ablation, the -fetoprotein level returned to the normal range, and the hepatitis B cirrhosis improved. In addition, splenic tumour biopsy confirmed the diagnosis of primary malignant lymphoma, which went into remission after chemotherapy. CONCLUSION: HCC with primary splenic non-Hodgkin lymphoma is extremely rare and easily misdiagnosed. Better understanding would facilitate early diagnosis, treatment and prognosis.
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spelling pubmed-95615592022-10-15 Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report Wu, Fa-Zong Chen, Xiao-Xiao Chen, Wei-Yue Wu, Qiao-Hong Mao, Jian-Ting Zhao, Zhong-Wei World J Clin Cases Case Report BACKGROUND: Primary liver cancer is one of the most common malignant tumours, while primary splenic lymphoma is a rare malignancy. Thus, cases of hepatocellular carcinoma (HCC) combined with splenic lymphoma are extremely rare. CASE SUMMARY: We present a 62-year-old woman who was admitted to the Interventional Radiology Department with a lump in the spleen and liver as well as multiple enlarged lymph nodes visible by ultrasound. Contrast-enhanced computed of the abdomen revealed a circular, low-density, shallow mass (approximately 2.6 cm in diameter) in the left intrahepatic lobe and multiple round, low-density shadows in the spleen with clear boundaries (maximum diameter 7.6 cm). Based on the characteristic clinical symptoms and explicit radiological findings, the clinical diagnosis was HCC with metastasis to the liver portal, retroperitoneal lymph nodes, and spleen. After transcatheter arterial chemoembolization and sequential radiofrequency ablation, the -fetoprotein level returned to the normal range, and the hepatitis B cirrhosis improved. In addition, splenic tumour biopsy confirmed the diagnosis of primary malignant lymphoma, which went into remission after chemotherapy. CONCLUSION: HCC with primary splenic non-Hodgkin lymphoma is extremely rare and easily misdiagnosed. Better understanding would facilitate early diagnosis, treatment and prognosis. Baishideng Publishing Group Inc 2022-10-06 2022-10-06 /pmc/articles/PMC9561559/ /pubmed/36246796 http://dx.doi.org/10.12998/wjcc.v10.i28.10130 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Wu, Fa-Zong
Chen, Xiao-Xiao
Chen, Wei-Yue
Wu, Qiao-Hong
Mao, Jian-Ting
Zhao, Zhong-Wei
Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title_full Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title_fullStr Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title_full_unstemmed Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title_short Multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: A case report
title_sort multiple primary malignancies – hepatocellular carcinoma combined with splenic lymphoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561559/
https://www.ncbi.nlm.nih.gov/pubmed/36246796
http://dx.doi.org/10.12998/wjcc.v10.i28.10130
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