Case Reports in Gastroenterology (Jun 2012)

A Patient with Chronic Hepatitis C and a Pancreatic Mass in Endoscopic Ultrasound

  • Mehdi Ghobakhlou,
  • Amir Houshang Mohammad Alizadeh,
  • Nosratollah Naderi,
  • Shirin Haghighi,
  • Mahsa Molaei,
  • Mitra Rafiezadeh,
  • Mohammad Reza Zali

DOI
https://doi.org/10.1159/000339693
Journal volume & issue
Vol. 6, no. 2
pp. 387 – 393

Abstract

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We report a rare case of pancreas tumor (lymphoma) in a patient with a history of chronic hepatitis C virus (HCV) infection without treatment, with a high viral load (20,199,805 IU/ml). He presented with abdominal pain, jaundice, weight loss and sweating. Computed tomography showed a hypodense mass located in the head of the pancreas, and immunohistochemistry of a specimen obtained by endoscopic ultrasound-guided fine needle aspiration revealed non-Hodgkin’s lymphoma of the pancreas, B cell type. An association of HCV infection with pancreatic lymphoma has only been reported rarely in the literature and its clinical significance is uncertain.

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