TY - JOUR
T1 - A case of multiple hepatic MALT lymphoma with cirrhosis related to hepatitis C virus
AU - Takagawa, Yuka
AU - Kawabe, Naoto
AU - Hashimoto, Senju
AU - Harata, Masao
AU - Murao, Michihito
AU - Nitta, Yoshifumi
AU - Nakano, Takuji
AU - Shimazaki, Hiroaki
AU - Mizuno, Yuko
AU - Kan, Toshiki
AU - Nakaoka, Kazunori
AU - Oki, Masashi
AU - Yoshioka, Kentaro
PY - 2014/5/30
Y1 - 2014/5/30
N2 - Contrast-enhanced US with Sonazoid showed the same sites enhanced in the vascular phase, and showed contrast defect in the postvascular phase. Plain CT showed low density tumors with unclear boundary. In dynamic CT, arterial phase showed the tumors enhanced faintly, and portal-venous phase showed low density tumors compared with surrounding liver. Gd-EOB-MRI showed multiple tumors which were enhanced in arterial phase, and showed low intensity in hepatocyte phase. Portal vein was observed in the S3 tumor. PET-CT showed multiple abnormal accumulation in the liver, mediastinal lymph node, and hilar lymph node. We underwent a liver tumor biopsy because the tumors were atypical as HCC, and showed an elevation of IL-2R. Biopsy histology showed the finding of MALT lymphoma. Thus we underwent chemotherapy. This case is a valuable case because multiple lesions of hepatic MALT lymphoma with type C cirrhosis is rare, and chemotherapy has become possible after diagnosis by tumor biopsy.
AB - Contrast-enhanced US with Sonazoid showed the same sites enhanced in the vascular phase, and showed contrast defect in the postvascular phase. Plain CT showed low density tumors with unclear boundary. In dynamic CT, arterial phase showed the tumors enhanced faintly, and portal-venous phase showed low density tumors compared with surrounding liver. Gd-EOB-MRI showed multiple tumors which were enhanced in arterial phase, and showed low intensity in hepatocyte phase. Portal vein was observed in the S3 tumor. PET-CT showed multiple abnormal accumulation in the liver, mediastinal lymph node, and hilar lymph node. We underwent a liver tumor biopsy because the tumors were atypical as HCC, and showed an elevation of IL-2R. Biopsy histology showed the finding of MALT lymphoma. Thus we underwent chemotherapy. This case is a valuable case because multiple lesions of hepatic MALT lymphoma with type C cirrhosis is rare, and chemotherapy has become possible after diagnosis by tumor biopsy.
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U2 - 10.2957/kanzo.55.274
DO - 10.2957/kanzo.55.274
M3 - Article
AN - SCOPUS:84901676290
SN - 0451-4203
VL - 55
SP - 274
EP - 283
JO - Kanzo/Acta Hepatologica Japonica
JF - Kanzo/Acta Hepatologica Japonica
IS - 5
ER -
