A 28-Year-Old Woman with Ascites and Multiple Focal Spleen Lesions

Overview

Journal Eur J Case Rep Intern Med

Specialty General Medicine

Date 2019 Jun 4

PMID 31157180

Authors

Alice Pirovano

Erica Matino

Erika Zecca

Martina Costanzo

Alessandro Croce

Monica Leutner

Raffaele Romito

Mario Pirisi

Affiliations

Soon will be listed here.

Abstract

Learning Points: Lymphomas may present with serous effusion, which is usually chylous and with positive cytology when represented by ascites accumulation; non-chylous effusions can be due to altered lymphatic drainage, extrinsic compression of the portal vein by enlarged lymph nodes as well as massive infiltration of the liver by lymphoma.If the cause of splenomegaly is unclear, diagnostic splenectomy remains a viable option.The diagnosis of lymphoma should always be pursued, even if it requires apparently unwise surgery, since this type of cancer can be treated effectively only if thoroughly characterized pathologically and molecularly.

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