Case Report
A Novel Use of Early Radiation Therapy in the Treatment of Hyperbilirubinemia in a Patient with Primary Hepatic Lymphoma and Chronic Hepatitis C
| = PHL + jaundice | Age, sex | Lesion | T bili mg/dL | Histology | Treatment | Outcome | Reference |
| 1 | 67, M | Multiple nodules in liver | 20.87 | DLBCL | R-CHOP | Died after 4th cycle due to ARDS |
Ma et al. [19] |
| 1 | 62, M | Large solitary right hepatic lobe mass | N/M | DLBCL | None | Died 3 months after tumor diagnosis |
DeMent et al. [4] |
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2 | 53, M | Diffuse | N/M | Pleiomorphic small cell* | Prednisolone and later multiagent chemotherapy | Died of disease at 18 months |
Anthony et al. [5] | 76, M | Diffuse | N/M | T zone* | Prednisolone and chlorambucil | Alive and well at 3 years |
| 2 | 49, M | Nodular | N/M | B cell type | 8 cycles of anthracycline containing CT# | CR at 52 months | Emile et al. [6] |
| 1 | 90, F | Single mass in left lobe | 2.3 | DLBCL | 4 cycles of attenuated CHOP | CR at 2 years |
Agmon-Levin et al. [7] |
| 1 | 55, F | Presented as biliary stricture with tumor in caudate lobe and left lobe of the liver invading CBD and occluding portal vein | 3.4 | DLBCL | Surgery followed by 6 cycles of CHOP + VP 16 | Alive after 4.5 years after surgery | Yoneyama et al. [8] |
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N/M: not mentioned; M: male; F: female; CT: chemotherapy; DLBCL: diffuse large B cell lymphoma; *based on Kiel’s classification subtype; #complete chemotherapy regimen not mentioned; CR: complete remission; VP 16: etoposide, ARDS: acute respiratory distress syndrome, T bili: total bilirubin, mg/dL: milligram/deciliter, PHL: primary hepatic lymphoma; R-CHOP: rituximab, cyclophosphamide, adriamycin, vincristine, and prednisone; CBD: common bile duct.
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