Surgery for non-Hodgkin’s lymphoma

Weledji, Elroy Patrick; Orock, George Enow

doi:10.4081/oncol.2015.274

Cited by 17 publications

(19 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An elective laparoscopic splenectomy can be performed in patients with non Hodkin lymphoma for acquiring a histological diagnosis. In fact, a pathologic analysis of spleen tissue is considered to be the gold standard for non-Hodgkin lymphomas and additionally it is not necessary for the spleen to be removed intact[ 27 ]. It is doubtful though, whether a splenectomy is worthwhile in this case, as it may delay the curative chemotherapy[ 28 ].…”

Section: Indicationsmentioning

confidence: 99%

Laparoscopic splenectomy: Current concepts

Misiakos

Bagias

Liakakos

et al. 2017

WJGE

View full text Add to dashboard Cite

Since early 1990’s, when it was inaugurally introduced, laparoscopic splenectomy has been performed with excellent results in terms of intraoperative and postoperative complications. Nowadays laparoscopic splenectomy is the approach of choice for both benign and malignant diseases of the spleen. However some contraindications still apply. The evolution of the technology has allowed though, cases which were considered to be absolute contraindications for performing a minimal invasive procedure to be treated with modified laparoscopic approaches. Moreover, the introduction of advanced laparoscopic tools for ligation resulted in less intraoperative complications. Today, laparoscopic splenectomy is considered safe, with better outcomes in comparison to open splenectomy, and the increased experience of surgeons allows operative times comparable to those of an open splenectomy. In this review we discuss the indications and the contraindications of laparoscopic splenectomy. Moreover we analyze the standard and modified surgical approaches, and we evaluate the short-term and long-term outcomes.

show abstract

Section: Indicationsmentioning

confidence: 99%

Laparoscopic splenectomy: Current concepts

Misiakos

Bagias

Liakakos

et al. 2017

WJGE

View full text Add to dashboard Cite

show abstract

“…While the role of surgery in the treatment of gastrointestinal lymphoma is debatable, performing surgery may provide invaluable prognostic information, including extensiveness of the tumor and its' stage. Two definitive indications for surgery exist in patients with cecal lymphoma: obstruction and perforation [19]. O. Bairey et al showed the rate of spontaneous perforation was high (5 out of 17 patients), he recommended to perform elective hemicolectomy to prevent such complication [7].…”

Section: Discussionmentioning

confidence: 99%

Sessile Serrated Adenoma of the Appendix and Perforated Cecal Lymphoma in a Nonagenarian on Novel Anticoagulant Undergoing Emergent Surgery: The Challenges, Decision Making and Management of a Rare Case

2018

View full text Add to dashboard Cite

A 92-year-old male with significant past medical history of atrial fibrillation, congenital heart disease, coronary artery disease (CAD), deep vein thrombosis (DVT), hyperlipidemia (HLD), hypertension (HTN), myocardial infarction (MI), and peripheral vascular disease presented to emergency department (ED) with shortness of breath and right sided chest pain. He was hypotensive and tachycardic with right upper and lower quadrant tenderness on clinical examination. Initial pulmonary embolism (PE) protocol CT scan was negative for pulmonary embolism but revealed a large 13 cm mass in right lower quadrant (RLQ) with adjacent free peritoneal air and fluid, suspicious for perforated cecal neoplasm or abscess. He received activated prothrombin complex concentrate (PCC) for emergent reversal of apixaban and taken emergently for exploratory laparotomy, where he underwent an extended right hemicolectomy with end ileostomy and a long Hartmann's. The ileocecal lesion was large and extended from the terminal ileum to almost the hepatic flexure. Histopathology revealed high-grade B-cell lymphoma involving the terminal ileum, cecum, ascending colon, appendix, and mesenteric lymph nodes. The specimen also contained a serrated sessile appendicular adenoma. We discuss urgent/emergent surgeries in nonagenarians with multiple comorbidities on novel oral anticoagulant (NOAC) as well as the indications of palliative surgery in these patient groups. We also discuss synchronous serrated adenoma along with the perforated high-grade lymphoma in the same patient.

show abstract

“…These patients would be better managed with chemotherapy, radiotherapy or immunotherapy [2, 3]. Surgery plays a minor role in selected patients with non-Hodgkin's lymphoma [4]. Nodal non-Hodgkin's lymphoma has been associated with HIV infection.…”

Section: Introductionmentioning

confidence: 99%

Large B cell lymphoma presenting as an adnexal mass in an HIV positive patient: a case report

Hukuimwe¹,

Ziruma²,

Gidiri³

et al. 2019

Pan Afr Med J

View full text Add to dashboard Cite

We present a 34-year-old HIV positive woman who presented with a 2-month history of abdominal pain, abdominal distension, night sweats and fever. She had a firm, immobile and irregular abdominopelvic mass of about 30 weeks uterine size. Investigations showed a haemoglobin of 6.5g/dl, (NR 12-14) cancer antigen 125 of 44U/ml (NR 0-35), serum beta human chorionic gonadotropin (HCG) of 0.258mIU/ml (NR 0-5) and alpha fetoprotein of 7ng/ml (NR <10). Her CD4 count was 63cells/mm3. At laparotomy there was a left ovarian mass and the rest of the abdomen and omentum looked grossly normal, leading to the conclusion that the primary was in the ovaries. A total abdominal hysterectomy, bilateral adnexectomy and infracolic omentectomy were done. Sigmoidectomy and Hartmann's procedure were also performed. Histology of the specimens showed a large B cell lymphoma. She has since been commenced on chemotherapy and antiretroviral therapy and has been doing well.

show abstract

Surgery for non-Hodgkin’s lymphoma

Cited by 17 publications

References 31 publications

Laparoscopic splenectomy: Current concepts

Laparoscopic splenectomy: Current concepts

Sessile Serrated Adenoma of the Appendix and Perforated Cecal Lymphoma in a Nonagenarian on Novel Anticoagulant Undergoing Emergent Surgery: The Challenges, Decision Making and Management of a Rare Case

Large B cell lymphoma presenting as an adnexal mass in an HIV positive patient: a case report

Contact Info

Product

Resources

About