| Literature DB >> 12424573 |
Hiroyuki Matsubayashi1, Shinichi Takagaki, Takao Otsubo, Takao Iiri, Yuka Kobayashi, Takashi Yokota, Kimitoshi Shichijo, Mitsuya Iwafuchi, Hiroshi Kijima.
Abstract
An 82-year-old man was admitted to hospital with symptoms of abdominal fullness and loss of appetite. Abdominal computed tomography (CT) scan and ultrasonography showed enlargement of the whole pancreas with para-aortic lymphadenopathy. Endoscopic retrograde pancreatography (ERP) showed diffuse narrowing of the main pancreatic duct (MPD), and brushing cytology from the MPD was non-neoplastic. Differential diagnosis between lymphoma and other exocrine and endocrine pancreatic malignancies was needed, and the level of serum soluble interleukin-2 receptor (17 751 U/ml) was revealed to be significantly high, which was strongly suggestive of pancreatic lymphoma. Chemotherapy was refused by the patient's family and the patient succumbed after 2 months of conservative follow-up. Autopsy revealed diffuse, mixed cell-type, non-Hodgkin's lymphoma of T-cell subtype.Entities:
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Year: 2002 PMID： 12424573 DOI： 10.1007/s005350200143
Source DB: PubMed Journal: J Gastroenterol ISSN： 0944-1174 Impact factor: 7.527