Primary biliary B-cell lymphoma of the cystic duct causing obstructive jaundice.

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.

• 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)

Topics

• Bile Duct Neoplasms (diagnosis, pathology, surgery)
• Cystic Duct
• Female
• Humans
• Jaundice, Obstructive (etiology)
• Lymphoma, B-Cell (diagnosis, pathology, surgery)
• Middle Aged