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Major liver resection for non-Hodgkin's lymphoma in an HIV-positive patient: Report of a case
- Source :
- Surgery Today. 28:1257-1260
- Publication Year :
- 1998
- Publisher :
- Springer Science and Business Media LLC, 1998.
-
Abstract
- A very unusual clinical presentation of non-Hodgkin's lymphoma (NHL) of the liver is reported herein. The patient was a 35-year-old male who had been HIV-positive since 1987. Following an episode of acute pain in the right upper abdominal quadrant, ultrasonography (US) and computed tomography (CT) were performed, revealing a nodular tomography (CT) were performed, revealing a nodular lesion, 2.5 cm in diameter, localized in the eight segment of the liver. Despite the fact that the lesion became significantly enlarged over a 6-month period, three repeated percutaneous biopsies proved negative. Finally, his increasing pain and the lack of a definitive diagnosis prompted us to perform a right hepatectomy. The patient had an uneventful postoperative course and is well 1 year after his operation. Establishing a diagnosis of extranodal lymphoma can be difficult, especially in HIV-positive or AIDS patients. Thus, performing a laparotomy is justified to confirm a diagnosis and decide upon the most appropriate treatment. However, in about 10% of these patients, only surgical resection allows for the diagnosis. In accordance with other reports, our experience confirms that, in contrast with AIDS patients, HIV-positive patients have a similar prognosis as non-HIV patients, and are suitable candidates for even major surgical procedures.
- Subjects :
- Adult
Male
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Diagnosis, Differential
Lesion
Surgical oncology
Laparotomy
medicine
Hepatectomy
Humans
Lymphoma, AIDS-Related
business.industry
Lymphoma, Non-Hodgkin
Liver Neoplasms
General Medicine
medicine.disease
Surgery
Lymphoma
Non-Hodgkin's lymphoma
Radiology
Differential diagnosis
medicine.symptom
business
Subjects
Details
- ISSN :
- 14362813 and 09411291
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Surgery Today
- Accession number :
- edsair.doi.dedup.....2b34e2bb6691449eac4817e6343dba08