Diffuse Large B-cell Lymphoma Presenting as Peritoneal Lymphomatosis: A Case Report and Literature Review
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- Ichikawa Satoshi
- Department of Hematology, Tohoku University Hospital, Japan
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- Fukuhara Noriko
- Department of Hematology, Tohoku University Hospital, Japan
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- Saito Kei
- Department of Hematology, Tohoku University Hospital, Japan
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- Onodera Koichi
- Department of Hematology, Tohoku University Hospital, Japan
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- Onishi Yasushi
- Department of Hematology, Tohoku University Hospital, Japan
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- Yokoyama Hisayuki
- Department of Hematology, Tohoku University Hospital, Japan
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- Ichinohasama Ryo
- Department of Hematopathology, Tohoku University Hospital, Japan
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- Harigae Hideo
- Department of Hematology, Tohoku University Hospital, Japan
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Abstract
<p>Peritoneal lymphomatosis (PL) is a rare presentation of malignant lymphoma cases, many of which are diagnosed as diffuse large B-cell lymphoma (DLBCL) and characterized by aggressive clinical courses. We herein report a 63-year-old woman presenting with the rapid development of abdominal distention due to bulky peritoneal tumors. The pathological evaluation of a needle biopsy sample, combined with flow cytometry, yielded the diagnosis of DLBCL. Prompt chemotherapeutic intervention resulted in favorable disease control and sustained complete remission. It is necessary to diagnose cases of DLBCL presenting as PL early to ensure prompt treatment and prevent mortality. </p>
Journal
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- Internal Medicine
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Internal Medicine 61 (13), 2057-2060, 2022-07-01
The Japanese Society of Internal Medicine