Limfom non-Hodgkin cu celule B manifestat ca boala hepatica

Authors

  • A. Raluca Badea Universitatea Transilvania din Brașov, România
  • Emanoil Gheotghița Universitatea Transilvania din Brașov, România
  • Maria Cârstea Spitalul Clinic Judeţean de Urgenţă Braşov, România
  • Ioan Dragomir Spitalul Clinic Judeţean de Urgenţă Braşov, România
  • Marius Penciu Spitalul Clinic Judeţean de Urgenţă Braşov, România

Keywords:

non-Hodgkin lymphoma, B cell

Abstract

Lymphoma is the name for a group of blood cancers that start in the lymphatic system. The lymphatic system is part of the body's immune system - the body's defense against infection. Hodgkin lymphoma and non-Hodgkin lymphoma (NHL) are the two main types. Most people with lymphoma have one of many different kinds of NHL. About 11.1 percent of people with lymphoma have Hodgkin lymphoma. There are many types of non-Hodgkin lymphoma. Most NHLs are B-cell lymphomas (about 90 percent). The other types are T-cell and NK-cell lymphomas and immunodeficiency-associated lymphoproliferative disorders. We present a 58-year-old patient, P.G., who was diagnosticated with hepatocarcinoma and was transferred to our Department of Internal Medicine. He presented to our department with severe icteric syndrome, intense abdominal pain, and anorexia. We have made this presentation because of the way of onset in an apparently healthy person, two weeks before the presentation he became clinically manifested and the final real diagnosis after a lot of medical diagnosis procedures was non-Hodgkin lymphoma. Most patients are treated with chemotherapy, with some physicians employing a multimodality approach incorporating surgery and radiotherapy with chemotherapy. The prognosis is variable with a good response to early aggressive combination chemotherapy. We wanted to emphasize the importance of a complete and accurate clinical exam of a patient and also the vital importance of using all the medical equipment we dispose of.

Published

2010-01-04

Issue

Section

Cazuri clinice