Linfoma primario de páncreas en un paciente de 27 años de edad. Reporte de un caso

Abstract

Pancreatic lymphomas is a rare (less than 1-2%) pancreatic malignant neoplasms, but is extremely rare in under 35 years-old. A rare case of Primary Lymphoma of Pancreas in a 27 years old patient is described, who was initially treated for abdominal pain and jaundice. Ultrasonographic images showed a mixt biliary stone disease, and he was taken to operation room for elective cholecystectomy and biliary exploration. We found a large tumor in pancreatic head, and we decided to take a biopsy specimen retrieval, cholecystectomy and Kher tube insertion in chodelocus. A serum oncologic markers and CT scan was performed as a postoperatory studies. A pancreatic head tumor without any evidence of adjacent or vascular structures infiltration was found. Pathology report showed a primary pancreatic lymphoma and adjuvant chemotherapy was initiated. Six months after surgery and chemotherapy treatment, a diminished size of the tumor was showed by CT and no jaundice was reported. Because of the exceedingly rare in patients younger than 35 year-old, we decided to report it, in order to accurate preoperative diagnosis and treatment.