Nhân một trường hợp u lympho tụy được chụp và theo dõi trên PET/CT tại bệnh viện Việt Đức

Pancreatic lymphôma – case report

SUMMARY

Pancreatic Lymphôma is most commonly a B-cell sub-type of non-Hodgkin lymphôma and is classified as either primary or secondary. We describe a case secondary Pancreatic lymphôma in a 64-year-old woman who presented with abdominal pain and weight loss for one month. Her laboratory tests upon admission were as follows : white blood cell count 9.6 G/l (reference range: 4,0-10,0), red blood cell 4.5 T/l (reference range: 3.8-5.8. The tumor marker levels of CEA; CA 125, CA 15-3, CA 19-9, αFP were all within the normal range. Abdominal ultrasound usually shows only a spenlic mass and many lymphô node in the abdomen. Gastroscopy and colonoscopy were normal. Abdominal multi slice computed tomography (MSCT) revealed a mass in the pancreatic body - tail and splenn suggest infarct lesions. There were many lymphadenopathies located at the portal hilus, para-aortic region and left renal hilus. PET/CT showed all lesions on the MSCT increased metabolic activity with maximal standardized uptake values (SUVmax) ranging from 8.9 to 17.0. Laparoscopy biopsy of pancreatic mass be performed to establish the diagnosis. In reports was extranodal marginal zone B cell lymphôma. The PET/CT after treatment 2 months suggest the disease respond well to treatment.