Abstract |
A distinctive case of primary biliary lymphoma occurring in the cystic duct causing extrinsic compression of the porta hepatis in a 48-year-old woman is presented. Imaging studies revealed stricture of the common hepatic duct with a 2.5-cm nonhomogeneous mass at the porta hepatis, mimicking a Klatskin tumor. Exploratory laparotomy revealed a mass in the gallbladder neck with extension into the cystic duct akin to Mirizzi's syndrome. A soft, tan-yellow 1.0-cm mass was removed from the cystic duct, and infiltrating atypical lymphocytic nodules were identified with a final diagnosis of an anaplastic variant of diffuse large B-cell lymphoma.
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Authors | David H Jho, Diana J Jho, Gregorio Chejfec, Maria Ahn, Evan S Ong, N Joseph Espat |
Journal | The American surgeon
(Am Surg)
Vol. 73
Issue 5
Pg. 508-10
(May 2007)
ISSN: 0003-1348 [Print] United States |
PMID | 17521008
(Publication Type: Case Reports, Journal Article)
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Topics |
- Bile Duct Neoplasms
(diagnosis, pathology, surgery)
- Cystic Duct
- Female
- Humans
- Jaundice, Obstructive
(etiology)
- Lymphoma, B-Cell
(diagnosis, pathology, surgery)
- Middle Aged
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