Splenic marginal zone lymphoma: a case report and literature review

Abstract Background Splenic marginal zone lymphoma (SMZL) is a rare non-Hodgkin lymphoma, and much little is known about its clinical characteristics and management strategies. Here we present a case of SMZL and review relevant literature to provide a better recognition of this disease entity. Case...

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Main Authors: Shiyu Zhang, Zefeng Xuan, Liang Zhang, Jiahua Lu, Penghong Song, Shusen Zheng
Format: Article
Language:English
Published: BMC 2020-10-01
Series:World Journal of Surgical Oncology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12957-020-02030-3
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author Shiyu Zhang
Zefeng Xuan
Liang Zhang
Jiahua Lu
Penghong Song
Shusen Zheng
author_facet Shiyu Zhang
Zefeng Xuan
Liang Zhang
Jiahua Lu
Penghong Song
Shusen Zheng
author_sort Shiyu Zhang
collection DOAJ
description Abstract Background Splenic marginal zone lymphoma (SMZL) is a rare non-Hodgkin lymphoma, and much little is known about its clinical characteristics and management strategies. Here we present a case of SMZL and review relevant literature to provide a better recognition of this disease entity. Case presentation A 49-year-old Chinese female was admitted to our hospital with complaints of abdominal distension and acid reflux. Physical examinations and imaging investigations suggested the presence of splenomegaly. Laboratory workups revealed mildly reduced white blood cell count otherwise was not remarkable. The patient underwent splenectomy. Histological examination combined with immunohistochemical analysis of the resected spleen confirmed the diagnosis of SMZL. The patient recovered uneventfully during follow-ups. Conclusions Due to the rarity and unspecific clinical features, SMZL is extremely challenging to be diagnosed preoperatively. Patients with SMZL are generally associated with favorable prognosis. Combining the staging characteristics of non-Hodgkin’s lymphoma and splenic primary lymphoma may assist in clinical staging management of SMZL.
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spelling doaj.art-cfe78489fb3c4a2f983e109e219682662022-12-21T23:42:23ZengBMCWorld Journal of Surgical Oncology1477-78192020-10-011811710.1186/s12957-020-02030-3Splenic marginal zone lymphoma: a case report and literature reviewShiyu Zhang0Zefeng Xuan1Liang Zhang2Jiahua Lu3Penghong Song4Shusen Zheng5The First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryThe First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryThe First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryThe First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryThe First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryThe First Affiliated Hospital, Zhejiang University School of Medicine, Division of Hepatobiliary and Pancreatic Surgery, Department of SurgeryAbstract Background Splenic marginal zone lymphoma (SMZL) is a rare non-Hodgkin lymphoma, and much little is known about its clinical characteristics and management strategies. Here we present a case of SMZL and review relevant literature to provide a better recognition of this disease entity. Case presentation A 49-year-old Chinese female was admitted to our hospital with complaints of abdominal distension and acid reflux. Physical examinations and imaging investigations suggested the presence of splenomegaly. Laboratory workups revealed mildly reduced white blood cell count otherwise was not remarkable. The patient underwent splenectomy. Histological examination combined with immunohistochemical analysis of the resected spleen confirmed the diagnosis of SMZL. The patient recovered uneventfully during follow-ups. Conclusions Due to the rarity and unspecific clinical features, SMZL is extremely challenging to be diagnosed preoperatively. Patients with SMZL are generally associated with favorable prognosis. Combining the staging characteristics of non-Hodgkin’s lymphoma and splenic primary lymphoma may assist in clinical staging management of SMZL.http://link.springer.com/article/10.1186/s12957-020-02030-3Splenic marginal zone lymphomaManagementStagingCase report
spellingShingle Shiyu Zhang
Zefeng Xuan
Liang Zhang
Jiahua Lu
Penghong Song
Shusen Zheng
Splenic marginal zone lymphoma: a case report and literature review
World Journal of Surgical Oncology
Splenic marginal zone lymphoma
Management
Staging
Case report
title Splenic marginal zone lymphoma: a case report and literature review
title_full Splenic marginal zone lymphoma: a case report and literature review
title_fullStr Splenic marginal zone lymphoma: a case report and literature review
title_full_unstemmed Splenic marginal zone lymphoma: a case report and literature review
title_short Splenic marginal zone lymphoma: a case report and literature review
title_sort splenic marginal zone lymphoma a case report and literature review
topic Splenic marginal zone lymphoma
Management
Staging
Case report
url http://link.springer.com/article/10.1186/s12957-020-02030-3
work_keys_str_mv AT shiyuzhang splenicmarginalzonelymphomaacasereportandliteraturereview
AT zefengxuan splenicmarginalzonelymphomaacasereportandliteraturereview
AT liangzhang splenicmarginalzonelymphomaacasereportandliteraturereview
AT jiahualu splenicmarginalzonelymphomaacasereportandliteraturereview
AT penghongsong splenicmarginalzonelymphomaacasereportandliteraturereview
AT shusenzheng splenicmarginalzonelymphomaacasereportandliteraturereview