Primary Bile Duct Diffuse Large B-cell Lymphoma Diagnosed by Repeated Endoscopic Ultrasound-guided Fine-needle Aspiration and Endoscopic Retrograde Cholangiopancreatography.
- Resource Type
- Academic Journal
- Authors
- Imai Y; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Sekine M; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Aoyama K; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Kojima S; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Sasaki G; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Sato A; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Matsumoto K; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Morino M; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Kashima H; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Koito Y; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Miura T; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Takahashi Y; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Ishii T; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Tsuboi R; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Otake H; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Yoshikawa S; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Uehara T; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Asano T; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Matsumoto S; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Miyatani H; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.; Oshiro H; Department of Pathology, Jichi Medical University Saitama Medical Center, Japan.; Mashima H; Department of Gastroenterology, Jichi Medical University Saitama Medical Center, Japan.
- Source
- Publisher: Japanese Society of Internal Medicine Country of Publication: Japan NLM ID: 9204241 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1349-7235 (Electronic) Linking ISSN: 09182918 NLM ISO Abbreviation: Intern Med Subsets: MEDLINE
- Subject
- Language
- English
A 54-year-old man was admitted with obstructive jaundice. Computed tomography showed common bile duct stricture and a tumor around the celiac artery. Repeated endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) and endoscopic retrograde cholangiopancreatography (ERCP) as well as a laparotomic biopsy around the celiac artery were diagnostically unsuccessful. Since the bile duct stricture progressed, EUS-FNA and ERCP were performed a third time, finally leading to the diagnosis of diffuse large B-cell lymphoma. The treatment plan and prognosis of obstructive jaundice differ greatly depending on the disease. It is important to conduct careful follow-up and repeated histological examinations with appropriate modifications until a diagnosis is made.