Abstract
Primary hepatic lymphoma is an extremely rare malignancy accounting for 0.016% of all cases of non-Hodgkin lymphomas. Approximately 1–4% of histologies described show a follicular pattern. We report a case of primary hepatic non-Hodgkin lymphoma that developed in a middle-aged woman 3 years after radical treatment (neoadjuvant chemoradiotherapy and surgery) for a rectal adenocarcinoma. Abdomen ultrasound showed a single nodule in the liver, which raised the issue of differential diagnosis with a metastasis from rectal cancer. After surgical removal of the nodule, histology revealed a primary B cell, stage IE follicular non-Hodgkin lymphoma, confined to the liver; indeed, no foci of lymphoma were found elsewhere in the body.
References
Noronha V, Shafi NQ, Obando JA, Kummar S. Primary non-Hodgkin’s lymphoma of the liver. Oncol/Hematol. 2005;53:199–207.
Gomyo H, Kagami Y, Kato H, Kawase T, Ohshiro A, Oyama T, Kamiya Y, Taji H, Nakamura S, Ogura M, Morishima Y. Primary hepatic follicular lymphomas: a case report and discussion of chemotherapy and favourable outcomes. J Clin Exp Hematopathol. 2007;47:73–7.
Santos ES, Raez LE, Salvatierra J, Morgensztern D, Shanmugan N, Neff GW. Primary hepatic non Hodgkin’s lymphomas: case report and review of literature. AJG. 2003;98:2789–93.
Masood A, Kairouz S, Hudhud KH, Hegazi AZ, Banu A, Gupta NC. Primary non-Hodgkin lymphoma of liver. Curr Oncol. 2009;16:74–7.
Subramonia-Iyer S, Singh A, Katato K. Incidence of second malignancies among 10916 patients over twenty years: retrospective analysis of a community hospital cancer registry data. JCO 2010;28 Suppl (abstract e12026).
Biju K, Morgan G. Non Hodgkin lymphoma secondary to cancer chemotherapy. Cancer Epidemiol Biomarkers Prev. 2007;16:377–80.
Ng AK, Bernardo MV, Weller E, Backstrand K, Silver B, Marcus KC, Tarbell NJ, Stevenson MA, Friedberg JW, Mauch PM. Second malignancies after Hodgkin disease treated with radiation therapy with or without chemotherapy: long term risks and risk factors. Blood. 2002;100:1989–96.
Mimura N, Tsujimura H, Ise M, Sakai C, Takagi T, Nagata M, Kumagai K. Therapy-related leukaemia following chemoradiotherapy for esophageal cancer. Eur J Hematol. 2010;85:353–7.
Kumar S, Shah JP, Bryant CS, Awonuga AO, Imudia AN, Ruterbusch JJ, Cote ML, Ali-Fehmi R, Morris RT, Malone JM Jr. Second neoplasms in survivors of endometrial cancer: impact of radiation therapy. Gynecol Oncol. 2009;113:233–9.
Bostrom PJ, Soloway MS. Secondary cancer after radiotherapy for prostate cancer: should we be more aware of the risk? Eur Urol. 2007;52:973–82.
Agmon-Levin N, Berger I, Shtalrid M, Schlanger H, Sthoeger ZM. Primary hepatic lymphoma: a case report and review of the literature. Age Aging. 2004;33:637–40.
Matano S, Nakamura S, Annen Y, Hattori N, Kiyohara K, Kakuta K, Kyoda K, Sugimoto T. Primary hepatic lymphoma in a patient with chronic hepatitis B. AJG. 1998;93:2301–2.
Shapiro S. Malignancies in the setting of primary immunodeficiency: implications for hematologists/oncologists. Am J Hematol. 2011;86:48–55.
Mothersill C, Seymour C. Radiation-induced bystander effects, carcinogenesis and models. Oncogene. 2003;22:7028–33.
Elsayes KM, Menias CO, Willatt JM, Pandya A, Wiggins M. Primary hepatic lymphoma: imaging findings. J Med Imaging Radiat Oncol. 2009;53:373–9.
Maher MM, McDermott SR, Fenlon HM, Conroy D, O’Keane JC, Carney DN, Stack JP. Imaging of primary non Hodgkin lymphoma of the liver. Clin Radiol. 2001;56:295–301.
Emile JF, Azoulay D, Gornet JM, Lopes G, Delvart V, Samuel D, Reynes M, Bismuth H, Goldwasser F. Primary non Hodgkin lymphomas of the liver with nodular and diffuse infiltration patterns have different prognosis. Ann Oncol. 2001;12:1005–10.
Kelekis NL, Semelka RC, Siegelman ES, Ascher SM, Outwater EK, Woosley JT, Reinhold C, Mitchell DG. Focal hepatic lymphoma: magnetic resonance demonstration using current techniques including gadolinium enhancement. MRI. 1997;15:625–36.
Bangerter M, Moog F, Griesshammer M, Merkle E, Hafner M, Ellenrieder V, Reske SN, Heimpel H. Usefulness of FDG-PET in diagnosing primary lymphoma of the liver. Int J Hematol. 1997;66:517–20.
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We are grateful to Jean Ann Gilder (Scientific Communication srl) for revising and editing the text.
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The authors declare that they have no conflict of interest.
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Raimondo, L., Ferrara, I., De Stefano, A. et al. Primary hepatic lymphoma in a patient with previous rectal adenocarcinoma: a case report and discussion of etiopathogenesis and diagnostic tools. Int J Hematol 95, 320–323 (2012). https://doi.org/10.1007/s12185-012-1025-x
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DOI: https://doi.org/10.1007/s12185-012-1025-x