J Korean Med Sci. 1999 Dec;14(6):671-674. English.
Published online Jun 22, 2009.
Copyright © 1999 The Korean Academy of Medical Sciences
Case Report

Hepatosplenic B-cell lymphoma associated with hemophagocytic syndrome: a case report

Sang Yong Kwon, Je Jung Lee, Ik Joo Chung, Hyeoung Joon Kim, Moo Rim Park, Hyung Seok Kim and Chang Soo Park
    • Department of Internal Medicine, National University Medical School, Kwangju, Korea.

Abstract

While T-cell non-Hodgkin's lymphoma (NHL) associated with hemophagocytic syndrome (HPS) has been frequently observed, B-cell NHL associated with HPS has been rarely reported. We report a case of hepatosplenic B-cell lymphoma associated with HPS in a 41-year-old woman who presented with fever of unknown origin. An abdominal CT scan revealed splenomegaly with focal splenic infarction. Splenectomy and a liver wedge biopsy showed sinusoidal-pattern infiltration of medium to large tumor cells with positive reaction to a B-lymphocyte marker. Findings on bone marrow examination showed proliferation of histiocytes with avid hemophagocytosis.

Keywords
Lymphoma, B-cell; Histiocytosis, malignant; Liver neoplasms; Splenic neoplasms; Neoplasms, multiple primary


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