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Canadian Journal of Gastroenterology
Volume 10, Issue 2, Pages 89-92
http://dx.doi.org/10.1155/1996/956983
Brief Communication

Survival from Primary Abdominal Lymphoma Presenting with a Mass and Obstructive Jaundice

Hugh J Freeman and Andrew M Seal

Departments of Medicine (Gastroenterology) and Surgery, University of British Columbia, Vancouver, British Columbia, Canada

Received 1 May 1995; Revised 31 July 1995

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 68-year-old female presented with an enlarged and nontender palpable gallbladder and clinical features of obstructive jaundice. Subsequent laboratory investigations confirmed the presence of cholestasis associated with an obstructing mass in the region of the common hepatic duct. Pathological evaluation of the mass revealed a localized abdominal lymphoma. Treatment with chemotherapy and radiation resulted in complete clinical remission (for almost 14 years at the last evaluation). Primary abdominal lymphoma may involve the hilar region and present as a localized mass. Precise tissue diagnosis is essential to permit an aggressive management approach with the potential for significant clinical benefit.