Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma

Primary biliary mucosa-associated lymphoid tissue (MALT) lymphoma is extremely rare. We report a case of primary biliary MALT lymphoma with obstructive jaundice diagnosed by endoscopic biopsy, without surgical intervention. Obstructive jaundice was relieved by endoscopic drainage and endoscopic biop...

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Main Authors: Seungha Hwang, Tae Jun Song, Seol So, Min Kyung Jeon, Eun Hye Oh, Byoung Soo Kwon, Sujong An, Myung-Hwan Kim
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2016-08-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.114
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author Seungha Hwang
Tae Jun Song
Seol So
Min Kyung Jeon
Eun Hye Oh
Byoung Soo Kwon
Sujong An
Myung-Hwan Kim
author_facet Seungha Hwang
Tae Jun Song
Seol So
Min Kyung Jeon
Eun Hye Oh
Byoung Soo Kwon
Sujong An
Myung-Hwan Kim
author_sort Seungha Hwang
collection DOAJ
description Primary biliary mucosa-associated lymphoid tissue (MALT) lymphoma is extremely rare. We report a case of primary biliary MALT lymphoma with obstructive jaundice diagnosed by endoscopic biopsy, without surgical intervention. Obstructive jaundice was relieved by endoscopic drainage and endoscopic biopsy was done simultaneously during endoscopic retrograde cholangiopancreatography. Unnecessary surgical intervention can be avoided after pathological confirmation of lymphoma. The patient received radiotherapy, and is alive without any evidence of recurrence or biliary obstruction. Diagnosis of primary biliary lymphoma is very difficult because of its low prevalence. However, it should always be considered as a differential diagnosis, since when an accurate diagnosis is made, unnecessary surgical intervention can be avoided. (Korean J Gastroenterol 2016;68:114-118)
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spelling doaj.art-e7eb6ae3d5c64d9cb7d33c86fd20653d2022-12-21T22:37:05ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922016-08-0168211411810.4166/kjg.2016.68.2.114kjg.2016.68.2.114Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar CholangiocarcinomaSeungha Hwang0Tae Jun Song1Seol So2Min Kyung Jeon3Eun Hye Oh4Byoung Soo Kwon5Sujong An6Myung-Hwan Kim7Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaPrimary biliary mucosa-associated lymphoid tissue (MALT) lymphoma is extremely rare. We report a case of primary biliary MALT lymphoma with obstructive jaundice diagnosed by endoscopic biopsy, without surgical intervention. Obstructive jaundice was relieved by endoscopic drainage and endoscopic biopsy was done simultaneously during endoscopic retrograde cholangiopancreatography. Unnecessary surgical intervention can be avoided after pathological confirmation of lymphoma. The patient received radiotherapy, and is alive without any evidence of recurrence or biliary obstruction. Diagnosis of primary biliary lymphoma is very difficult because of its low prevalence. However, it should always be considered as a differential diagnosis, since when an accurate diagnosis is made, unnecessary surgical intervention can be avoided. (Korean J Gastroenterol 2016;68:114-118)http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.114Lymphomamucosa-associated lymphoid tissueCholangiocarcinomaEndoscopic retrograde cholangiopancreatographyObstructive jaundiceRadiotherapy
spellingShingle Seungha Hwang
Tae Jun Song
Seol So
Min Kyung Jeon
Eun Hye Oh
Byoung Soo Kwon
Sujong An
Myung-Hwan Kim
Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
The Korean Journal of Gastroenterology
Lymphoma
mucosa-associated lymphoid tissue
Cholangiocarcinoma
Endoscopic retrograde cholangiopancreatography
Obstructive jaundice
Radiotherapy
title Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
title_full Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
title_fullStr Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
title_full_unstemmed Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
title_short Primary Biliary Mucosa-associated Lymphoid Tissue Lymphoma Mimicking Hilar Cholangiocarcinoma
title_sort primary biliary mucosa associated lymphoid tissue lymphoma mimicking hilar cholangiocarcinoma
topic Lymphoma
mucosa-associated lymphoid tissue
Cholangiocarcinoma
Endoscopic retrograde cholangiopancreatography
Obstructive jaundice
Radiotherapy
url http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.68.2.114
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