Pancreatic and duodenal lymphomas coexistent with colonic carcinoma: Report of a case
Journal
Gastroenterological Journal of Taiwan
Journal Volume
14
Journal Issue
1
Pages
30-36
Date Issued
1997
Author(s)
Abstract
Lymphoma with pancreatic or peripancreatic involvement may present clinical and radiological pictures similar to primary pancreatic adenocarcinoma. Differentiation of pancreatic lymphoma from ductal adenocarcinoma is crucial because of different therapeutic regimens and outcomes. Moreover, lymphomas coexistent with adenocarcinomas are rare. We reported a case o f a 77-year-old male suffering from intermittent epigastric pain, diarrhea, and loss of body weight. Ultrasonography and computed tomography revealed a big pancreatic mass and another left atrial tumor. Panendoscopy showed a tumor at duodenal bulb and colonoscopy found a tumor at rectosigmoid area. Fine-needle aspiration cytology from the pancreatic mass and endoscopic biopsy from duodenal tumor revealed lymphoma of diffuse large B cell origin. Endoscopic biopsy of this colonic tumor showed adenocarcinoma. The patient refused further treatment. The differential diagnosis and management of the rare disease entity will be discussed.
Subjects
Adenocarcinoma; Colon; Lymphoma; Pancreas
SDGs
Other Subjects
aged; article; aspiration biopsy; case report; colon carcinoma; colonoscopy; computer assisted tomography; diarrhea; duodenum tumor; echography; endoscopy; epigastric pain; human; human tissue; lymphoma; male; nuclear magnetic resonance imaging; pancreas adenocarcinoma; pancreas tumor; weight reduction
Type
journal article