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KMID : 1104820150030020101
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Journal of Digestive Cancer Research
2015 Volume.3 No. 2 p.101 ~ p.104
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A Case of Primary Pancreatic Lymphoma Presenting with Obstructive Jaundice
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Kim Ga-Young
Kim Min-Keun
Lee Dong-Wook
Kim Ho-Gak
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Abstract
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A 55?year?old man was admitted to the hospital for jaundice. Computed tomography (CT) scans showed a diffuse mass in the pancreas and peripancreatic area, with infiltration to the whole pancreas, and overall reduced enhancement compared to normal pancreas. Esophagogastroduodenoscopy revealed elevated mucosal lesion covered hyperemic mucosa at duodenal bulb and ulcerative lesion at body of stomach. Endoscopic ultrasonography revealed an irregular mass with unclear boundaries was observed within the pancreas. Abrupt narrowing of mid to distal common bile duct was seen and the stricture was caused by compression of pancreatic mass. Plastic stent was inserted and clinical improvement was achieved including resolution of jaundice. The patient is currently being treated with combination of rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone. We report a case of primary pancreatic lymphoma presenting with obstructive jaundice.
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KEYWORD
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Pancreatic mass, Primary pancreatic lymphoma, Obstructive jaundice
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