Primary pancreatic non-Hodgkin's lymphoma

Diffuse large-cell B lymphoma of the pancreas is a rare disease, representing less than 1% of all non-Hodgkin's lymphomas and less than 0.9% of all malignant tumors of the pancreas. About 150 cases of the disease have been observed so far. The tumors are more frequent in the head of the pancrea...

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Main Authors: Čolović Nataša, Čemerikić Vesna, Čolović Radoje, Grubor Nikica
Format: Article
Language:English
Published: Serbian Medical Society 2005-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790506276C.pdf
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author Čolović Nataša
Čemerikić Vesna
Čolović Radoje
Grubor Nikica
author_facet Čolović Nataša
Čemerikić Vesna
Čolović Radoje
Grubor Nikica
author_sort Čolović Nataša
collection DOAJ
description Diffuse large-cell B lymphoma of the pancreas is a rare disease, representing less than 1% of all non-Hodgkin's lymphomas and less than 0.9% of all malignant tumors of the pancreas. About 150 cases of the disease have been observed so far. The tumors are more frequent in the head of the pancreas then in other parts of the organ. They are usually larger (average size of 8 cm) and are non-resectionable. As a rule, exact diagnosis is based on the histology and the immunohistology of the specimen taken during open surgery performed for general diagnosis of the pancreatic tumor. Very rarely can a very reliable and experienced cytopathologist establish a proper diagnosis based on material obtained from a fine needle biopsy. The disease usually responds positively to immunochemotherapy according to protocol R-CHOP. Occasionally, additional radiotherapy may be required. We present two women, 66 and 49 years old, in whom a diagnosis of large-cell B lymphoma of the pancreas was established, based on the histology and the immunohistochemistry of a specimen taken during open surgery performed in order to remove pancreatic tumors, which turned out to be non-resectionable. After immunochemotherapy, the symptoms disappeared and the tumors shrank, in one patient after additional radiotherapy. The authors would like to point out the importance of a proper histological diagnosis, which permitted the application of immunochemotherapy alone or together with additional radiotherapy with at least temporarily favorable results.
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spelling doaj.art-4b64f0d0c5264a9d9c3982e6ca4955b72022-12-21T21:04:51ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792005-01-011335-627627910.2298/SARH0506276CPrimary pancreatic non-Hodgkin's lymphomaČolović NatašaČemerikić VesnaČolović RadojeGrubor NikicaDiffuse large-cell B lymphoma of the pancreas is a rare disease, representing less than 1% of all non-Hodgkin's lymphomas and less than 0.9% of all malignant tumors of the pancreas. About 150 cases of the disease have been observed so far. The tumors are more frequent in the head of the pancreas then in other parts of the organ. They are usually larger (average size of 8 cm) and are non-resectionable. As a rule, exact diagnosis is based on the histology and the immunohistology of the specimen taken during open surgery performed for general diagnosis of the pancreatic tumor. Very rarely can a very reliable and experienced cytopathologist establish a proper diagnosis based on material obtained from a fine needle biopsy. The disease usually responds positively to immunochemotherapy according to protocol R-CHOP. Occasionally, additional radiotherapy may be required. We present two women, 66 and 49 years old, in whom a diagnosis of large-cell B lymphoma of the pancreas was established, based on the histology and the immunohistochemistry of a specimen taken during open surgery performed in order to remove pancreatic tumors, which turned out to be non-resectionable. After immunochemotherapy, the symptoms disappeared and the tumors shrank, in one patient after additional radiotherapy. The authors would like to point out the importance of a proper histological diagnosis, which permitted the application of immunochemotherapy alone or together with additional radiotherapy with at least temporarily favorable results.http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790506276C.pdfpancreaslarge-cell B lymphoma
spellingShingle Čolović Nataša
Čemerikić Vesna
Čolović Radoje
Grubor Nikica
Primary pancreatic non-Hodgkin's lymphoma
Srpski Arhiv za Celokupno Lekarstvo
pancreas
large-cell B lymphoma
title Primary pancreatic non-Hodgkin's lymphoma
title_full Primary pancreatic non-Hodgkin's lymphoma
title_fullStr Primary pancreatic non-Hodgkin's lymphoma
title_full_unstemmed Primary pancreatic non-Hodgkin's lymphoma
title_short Primary pancreatic non-Hodgkin's lymphoma
title_sort primary pancreatic non hodgkin s lymphoma
topic pancreas
large-cell B lymphoma
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790506276C.pdf
work_keys_str_mv AT colovicnatasa primarypancreaticnonhodgkinslymphoma
AT cemerikicvesna primarypancreaticnonhodgkinslymphoma
AT colovicradoje primarypancreaticnonhodgkinslymphoma
AT grubornikica primarypancreaticnonhodgkinslymphoma