A case of primary splenic lymphoma presenting as a splenic abscess.
- Author:
Paul CHOI
1
;
Sang Won PARK
;
Myung Ju KANG
;
Eun Uk JUNG
;
Eun Taek PARK
;
Sang Hyuk LEE
;
Sang Yong SEOL
Author Information
1. Department of Internal Medicine, Inje University College of Medicine, Busan Paik Hospital, Busan, Korea. euntpark@hanmail.net
- Publication Type:Case Report
- Keywords:
Primary splenic lymphoma;
Splenic abscess
- MeSH:
Abscess;
Adult;
Diagnosis, Differential;
Drainage;
Fever;
Hamartoma;
Hemangioma;
Hemorrhage;
Humans;
Incidence;
Lymphoma;
Lymphoma, B-Cell;
Spleen;
Splenectomy
- From:Korean Journal of Medicine
2009;76(Suppl 1):S49-S53
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary splenic lymphoma (PSL) is very rare, with a reported incidence of less than 1% of all malignant lymphomas. The differential diagnosis of a solitary splenic mass should include benign entities, such as hemangioma, hamartoma, simple cyst, and metastatic carcinoma, as well as abscess. We report a case of primary splenic lymphoma presenting as a splenic abscess. A 27-year-old man presented with left upper quadrant pain for 3 days. Abdominal computed tomography (CT) revealed a splenic mass, a well-defined hypodense lesion (4.5*4 cm) in the posterosuperomedial aspect of the spleen. The patient improved clinically with percutaneous drainage of the spleen cystic mass and antibiotic therapy. After 8 months, he presented again with left upper quadrant pain and fever. Abdominal CT revealed progression of the splenic mass (5*.5 cm) with some internal hemorrhage. The patient underwent splenectomy for a definitive diagnosis and treatment. At surgery, a splenic tumor was found with no evidence of it involving other sites, and it was confirmed pathologically as a diffuse large B cell lymphoma of the spleen.
