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Gaceta Médica Espirituana

On-line version ISSN 1608-8921

Abstract

MAS MEDINA, Vicente Joaquín et al. Primary lymphoma of the spleen. Case presentation. Gac Méd Espirit [online]. 2013, vol.15, n.3, pp.317-323. ISSN 1608-8921.

Background: in the spleen you can see different types of tumors; primary lymphomas are an example of them. This is an infrequent disease, hence the importance of its presentation. Case presentation: 66 year old white female patient with history of hypertension, thyroid right lobectomy that refers to have been suffering from high left abdominal pain for a year that became more intense after physical exertion, cough, presenting general malaise by what is admitted to the surgical service. Some samples for biopsy are taken, after being surgically operated of a splenectomy, showing as a result a non-Hodkin lymphoma of big cells resulting cell non-Hodgkin lymphoma CD20 Positive, without hepatic, ganglionic or epiploic infiltration. Splenectomy and chemotherapy were made. The patient has improved favorably. Conclusions: primary lymphoma of the spleen is a rare entity and its diagnosis is still rarer in patients over 60 years, as it happened in the case presented. As cases like these are disseminated among health professionals will allow a more accurate diagnostic approach to this rare disease.

Keywords : lymphoma non-hodgkin surgery; neoplasms; spleen; surgery; splenectomy; drug therapy.

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