Clinical analysis of obstructive jaundice resulted from non Hodgkin's lymphoma of pancreatic head
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摘要: 我科近期相继遇到2例阻塞性黄疸的病人，CT分别考虑为胆管癌、胰头癌，由于黄疸时间较长，肝功能损伤较重，腹腔多发淋巴结转移，没有立即按胆管癌、胰头癌常规外科手术治疗的方案，而是先留置胆道引流管降黄。降黄期间给予穿刺活检。病理提示均为非霍奇金淋巴瘤。给予规律全身化疗一段时间后肿瘤完全缓解，胆道受压亦缓解，黄疸消退。腹腔肝门区、胰头区非霍奇金淋巴瘤导致胆管梗阻引起阻塞性黄疸的病例比较少见，与这个部位常见肿瘤的治疗方案完全不同。对肝门区、胰头区肿瘤穿刺活检更多的关注有助于提高淋巴瘤的诊断。Abstract: There are two case of patients with obstructive jaundice caused by NHL in our department recently. They are misdiagnosed as cholangiocarcinoma or pancreatic cancer by computed tomography. Because of their long jaundice, severe liver dysfunction, abdominal multiple lymphnode metastasis, they don't have operation like cholangiocarcinoma or pancreatic cancer. They are performed percutaneous transhepatic cholangiography and drainage catheter, then biopsy. Pathology results confirmed non-hodgkin's lymphoma. After systemic chemotherapy, the tumor are complete remission, also relieve biliary compression, jaundice subsided. Obstructive jaundice is a rare presenting feature of non-hodgkin's lymphoma, which is different from the cholangiocarcinoma or pancreatic cancer in treatment. Recently more focus oil the biopsy of the tumor at the hepatic hilum or in the pancreatic head region was helpful for the diagnosis of lymphoma.
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Key words:
- Non-hodgkin lymphoma /
- lymphoma /
- jaundice /
- pathology
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