Diagnosis of follicular lymphoma by laparoscopy: A case report

Wei, Cheng; Xiong, Feng; Yu, Zhichao; Li, Defeng; Luo, Ming‐Han; Liu, Tingting; Li, Yingxue; Zhang, Dingguo; Xu, Zefeng; Jin, Hongtao; Tang, Qi; Wang, Lisheng; Wang, Jianyao; Yao, Jun

doi:10.12998/wjcc.v7.i8.984

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…This loss of proteinaceous material can predispose patients to infection and generalized organ dysfunction. In addition, this leakage of viscous contents into the relatively fixed abdominal space has been linked to the development of abdominal compartment syndrome, a critical diagnosis [7][8]. Although our presenting patient did not develop abdominal compartment syndrome, the rapid rate of fluid accumulation warrants a high index of suspicion for such serious complications.…”

Section: Discussionmentioning

confidence: 86%

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Rapid Onset Chylous Ascites Presenting as the Initial Manifestation of Follicular Lymphoma: A Case Report

Weber¹,

Luke²

2022

Cureus

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Follicular lymphoma is the most common indolent Non-Hodgkin Lymphoma (NHL) with overall survival measured in years for the majority of patients (NHL carries a somewhat positive prognosis). Baseline clinical genetic characteristics appear to be the best predictors of the clinical course. A few cases appear to be familial; however, no consistent environmental or infectious causation has been identified. Our presenting patient has a case of follicular lymphoma that was initially diagnosed in the setting of rapid onset chylous ascites, a highly atypical and rare presentation. Follicular lymphoma typically presents with painless lymphadenopathy in lymph nodes along the torso. The lymphoma cells divide within the nodes and can be palpated as bumps within the axilla or on the neck above the clavicle. Various prognostic indicators and tumor grading can give providers a sense of survival statistics. Once diagnosed, chemotherapy tends to form the backbone of most treatment regimens with various roles for immunotherapy and radiation.

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Section: Discussionmentioning

confidence: 86%

“…Other causes must be ruled out such as tuberculosis (TB), hepatitis, vasculitis, rheumatologic causes, and cardiac and renal etiologies. In light of the wide differential, some practitioners have even stumbled upon a follicular lymphoma diagnosis after extensive workup requiring the use of laparoscopy [8].…”

Section: Discussionmentioning

confidence: 99%

Rapid Onset Chylous Ascites Presenting as the Initial Manifestation of Follicular Lymphoma: A Case Report

Weber¹,

Luke²

2022

Cureus

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“…Compared with exploratory laparotomy, laparoscopy shortens the operation time and reduces blood loss and the risk of perioperative complications [8]. However, several case reports of cancers whose primary lesion was unknown have been diagnosed using laparoscopy, including gastrointestinal and gallbladder cancers, malignant mesothelioma, and malignant lymphoma [1][2][3]. Gynecologists should cautiously evaluate the pathological findings of cancers of unknown primary origin for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…Even when the preoperative diagnosis is uncertain, it may be possible to identify the primary origin through observation and tissue sampling using laparoscopy. Gastrointestinal and gallbladder cancers [1], malignant mesotheliomas [2], and malignant lymphomas [3] can be diagnosed using laparoscopy. Therefore, gynecologists often perform laparoscopy to diagnose malignancies of unknown origin.…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Occult Breast Cancer Detected by Diagnostic Laparoscopy for Suspected Ovarian Cancer

Egami,

Tarumi,

Okamura

et al. 2024

Case Reports in Obstetrics and Gynecology

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Diagnostic laparoscopy is useful in the management of gynecological cancers; however, it can occasionally result in the detection of other malignancies. Occult breast cancer (OBC) is metastatic breast cancer without a recognized primary breast lesion. We report a rare case of OBC that was detected laparoscopically. A 64-year-old female presented to our hospital with back pain. Magnetic resonance imaging (MRI) revealed a 50 mm multicystic tumor with an internal nodule in the right ovary. Positron emission tomography/computed tomography showed abnormal accumulation in multiple lymph nodes, moderate accumulation in the ovarian tumor nodule, and no accumulation in the breasts. Ovarian cancer was suspected, and a diagnostic laparoscopy was performed. Laparoscopically, a cystic tumor in the right ovary and 10 mm nodule in the right round ligament were observed and partially resected. Immunohistopathologically, the nodules of the round ligament exhibited features consistent with those of breast cancer, but the ovarian tumor was a seromucinous borderline tumor. MRI revealed no breast lesions. Therefore, the malignancy was diagnosed as an OBC.

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“…Ascites as an accumulation of fl uids inside abdominal cavity is a sequelae of an illness which can come from local peritoneal or systemic disease. 10 Commonly, gradual painless accumulation of ascitic fl uid is indicative of chronic benign condition while rapid accumulation and weight loss belong to malignant condition. 11 Routine laboratory test such as chemical examination of ascites fl uid can help to diagnosis the original cause of ascites in most cases.…”

Section: Discussionmentioning

confidence: 99%

Role of Ambulatory Laparoscopy in Diagnosis of Ascites with Unknown Etiology

Situmorang

Surya²,

Hellyanti

2021

Indones J Obstet Gynecol

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Background: Ascites could be caused by many underlying diseases, mainly portal hypertension, malignancy, and heart failure. Other etiologies include tuberculosis and pancreatitis. Difficulties in confirming the cause of ascites have been seen in many clinical settings. Ambulatory laparoscopy is one of powerful tools to rule out many etiologies of ascites despite being invasive in its nature. This case report would like to show one case of peritoneal TB presenting with ascites. Patient has undergone many laboratory workups in search of ascites origin. Literature study is done to look for evidence about timing and role of laparoscopy in ascites work-up. Case illustration: A-26-year-old P2 woman came to hospital with a history of vaginal delivery 22 days before admission presenting with massive ascites. No obstetric complication was found. Transvaginal ultrasound revealed normal postpartum uterus and ovaries, surrounded with ascites. Both the liver and kidneys were found normal on ultrasound. Abdominal CT scan with contrast showed massive ascites with thickened omentum. ADA was 36 IU/L. We decided to perform diagnostic laparoscopy and biopsy for histopathology. We found massive yellowish ascites and hyperaemic tubal enlargement with thickening of the peritoneum. Pathology examination proved the appearance of chronic salpingitis and granulomatous peritonitis consistent with tuberculosis peritonitis. Conclusion: Laparoscopy as a minimal invasive tool can diagnose ascites with unknown etiology patients after failure to prove diagnosis from clinical laboratory and radiological examination. It is one best alternative to diagnose peritoneal TB presenting with ascites with its superiority in visualizing abdominal cavity and obtaining specimens for histology with lower risk of morbidity.

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Diagnosis of follicular lymphoma by laparoscopy: A case report

Cited by 3 publications

References 9 publications

Rapid Onset Chylous Ascites Presenting as the Initial Manifestation of Follicular Lymphoma: A Case Report

Rapid Onset Chylous Ascites Presenting as the Initial Manifestation of Follicular Lymphoma: A Case Report

A Case Report of Occult Breast Cancer Detected by Diagnostic Laparoscopy for Suspected Ovarian Cancer

Role of Ambulatory Laparoscopy in Diagnosis of Ascites with Unknown Etiology

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