Primary splenic diffuse large B-cell lymphoma: a case report

Primary splenic lymphoma (PSL) is a rare disease and an improbable cause of splenomegaly or splenic nodules. On the contrary, splenic secondary involvement as part of an advanced lymphoproliferative disorder is more common. The authors present the case of a 49-year-old woman with a primary splenic d...

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Main Authors: Nuno Maia Neves, Ana Pestana Lopes, Susana Carvalho Coelho, Anabela Raimundo, Maria Manuela Mafra, Alexandra Bayão Horta
Format: Article
Language:English
Published: SMC MEDIA SRL 2023-06-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3932
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author Nuno Maia Neves
Ana Pestana Lopes
Susana Carvalho Coelho
Anabela Raimundo
Maria Manuela Mafra
Alexandra Bayão Horta
author_facet Nuno Maia Neves
Ana Pestana Lopes
Susana Carvalho Coelho
Anabela Raimundo
Maria Manuela Mafra
Alexandra Bayão Horta
author_sort Nuno Maia Neves
collection DOAJ
description Primary splenic lymphoma (PSL) is a rare disease and an improbable cause of splenomegaly or splenic nodules. On the contrary, splenic secondary involvement as part of an advanced lymphoproliferative disorder is more common. The authors present the case of a 49-year-old woman with a primary splenic diffuse large B-cell lymphoma (PS-DLBCL), in which the absence of other organs’ involvement determined an ultrasound-guided biopsy of the spleen to achieve a definitive diagnosis. With this case the authors intend to emphasise the extensive differential diagnosis of splenomegaly, splenic nodules or infiltrates, the usefulness of splenic biopsy in establishing the diagnosis and recall a rare disease, with non-specific presenting symptoms, in which the diagnostic workup is challenging.
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spelling doaj.art-c41443a3ea7646338e1072060c8c50352023-07-12T07:29:01ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-06-0110.12890/2023_0039323467Primary splenic diffuse large B-cell lymphoma: a case reportNuno Maia Neves0Ana Pestana Lopes1Susana Carvalho Coelho2Anabela Raimundo3Maria Manuela Mafra4Alexandra Bayão Horta5Internal Medicine Department, Hospital da Luz Lisboa, Lisbon, PortugalAnatomical Pathology Department, Hospital da Luz Lisboa, Lisbon, PortugalInternal Medicine Department, Hospital da Luz Lisboa, Lisbon, PortugalInternal Medicine Department, Hospital da Luz Lisboa, Lisbon, PortugalAnatomical Pathology Department, Hospital da Luz Lisboa, Lisbon, PortugalInternal Medicine Department, Hospital da Luz Lisboa, Lisbon, PortugalPrimary splenic lymphoma (PSL) is a rare disease and an improbable cause of splenomegaly or splenic nodules. On the contrary, splenic secondary involvement as part of an advanced lymphoproliferative disorder is more common. The authors present the case of a 49-year-old woman with a primary splenic diffuse large B-cell lymphoma (PS-DLBCL), in which the absence of other organs’ involvement determined an ultrasound-guided biopsy of the spleen to achieve a definitive diagnosis. With this case the authors intend to emphasise the extensive differential diagnosis of splenomegaly, splenic nodules or infiltrates, the usefulness of splenic biopsy in establishing the diagnosis and recall a rare disease, with non-specific presenting symptoms, in which the diagnostic workup is challenging.https://www.ejcrim.com/index.php/EJCRIM/article/view/3932primary splenic lymphomadiffuse large b-cell lymphomanon-hodgkin lymphomasplenomegalysplenic nodules
spellingShingle Nuno Maia Neves
Ana Pestana Lopes
Susana Carvalho Coelho
Anabela Raimundo
Maria Manuela Mafra
Alexandra Bayão Horta
Primary splenic diffuse large B-cell lymphoma: a case report
European Journal of Case Reports in Internal Medicine
primary splenic lymphoma
diffuse large b-cell lymphoma
non-hodgkin lymphoma
splenomegaly
splenic nodules
title Primary splenic diffuse large B-cell lymphoma: a case report
title_full Primary splenic diffuse large B-cell lymphoma: a case report
title_fullStr Primary splenic diffuse large B-cell lymphoma: a case report
title_full_unstemmed Primary splenic diffuse large B-cell lymphoma: a case report
title_short Primary splenic diffuse large B-cell lymphoma: a case report
title_sort primary splenic diffuse large b cell lymphoma a case report
topic primary splenic lymphoma
diffuse large b-cell lymphoma
non-hodgkin lymphoma
splenomegaly
splenic nodules
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3932
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AT susanacarvalhocoelho primarysplenicdiffuselargebcelllymphomaacasereport
AT anabelaraimundo primarysplenicdiffuselargebcelllymphomaacasereport
AT mariamanuelamafra primarysplenicdiffuselargebcelllymphomaacasereport
AT alexandrabayaohorta primarysplenicdiffuselargebcelllymphomaacasereport