| A case of primary splenic lymphoma presenting as a splenic abscess |
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Paul Choi, Sang Won Park, Myung Ju Kang, Eun Uk Jung, Eun Taek Park, Sang Hyuk Lee, |
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| 비장농양으로 보인 원발성 비장림프종 1예 |
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최바울, 박상원, 강명주, 정은욱, 박은택, 이상혁, 설상영 |
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| Abstract |
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Primary splenic lymphoma (PSL) is very rare, with a reported incidence of less than 1% of all malignant lymphomas. The differential
diagnosis of a solitary splenic mass should include benign entities, such as hemangioma, hamartoma, simple cyst, and metastatic
carcinoma, as well as abscess. We report a case of primary splenic lymphoma presenting as a splenic abscess.
A 27-year-old man presented with left upper quadrant pain for 3 days. Abdominal computed tomography (CT) revealed a splenic
mass, a well-defined hypodense lesion (4.5×4 cm) in the posterosuperomedial aspect of the spleen. The patient improved clinically
with percutaneous drainage of the spleen cystic mass and antibiotic therapy. After 8 months, he presented again with left upper
quadrant pain and fever. Abdominal CT revealed progression of the splenic mass (5×8.5 cm) with some internal hemorrhage. The
patient underwent splenectomy for a definitive diagnosis and treatment. At surgery, a splenic tumor was found with no evidence of
it involving other sites, and it was confirmed pathologically as a diffuse large B cell lymphoma of the spleen. (Korean J Med 76:
S49-S53, 2009) |
| Key Words:
Primary splenic lymphoma; Splenic abscess |
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