Aparato Locomotor

VOL.18 Nº3, JULIO/SEPTIEMBRE 2007

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Asymtomatic primary lymphoma of the spleen

Carvajal Balaguera J., Simón González Mª.
L., Oliart Delgado de Tórres S., Martín
García-Almenta M., Camuñas Segovia J.,
Peña Gamarra L., Cerquella Hernández C. Mª

Servicio de Cirugía General y Digestiva
Servicio de Hematología
Hospital Central de la Cruz Roja
San José y Santa Adela. Madrid

Primary lymphoma of the spleen is a infrequent pathology. It can be defined as a lymphomatous process involving the spleen alone or the spleen and splenic lymph nodes. We present a asymptomatic case in an 86 year-old woman that was as discovery a number high of the leukocytes and lymphocytes and low platelets after analytic pre operatory of cataract. After study immunologic and morphological of the lymphocytes you confirmed the suspicion of splenic lymphoma with villous lymphocytes. Min indication of the splenectomy in this patient was the one of to avoid the quick progression of the lymphocytosis and to correct the hipersplenism, data that it began to present. The histological exam confirmed the diagnosis of a non-Hodgkin´s lymphoma without lymph node involment. After 6 months the patient did not show any evidence of neoplastic loco-regional or distant recurrence. Radical splenectomy is the treatment of choice and a fundamental diagnostic tool.

Correspondencia:

J. Carvajal Balaguera
Téllez 30, Escalera 12, 2ª planta, puerta 3. 28007 Madrid
josuecarvajal@yahoo.es

MAPFRE MEDICINA, 2007; 18 (3): 219-224


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