Abstract
A 38-year-old man complained of epigastralgia ; on abdominal computed tomography, a large hepatic tumor was seen. Lactate dehydrogenase, alkaline phosphatase, and serum C reactive protein levels were elevated. The tumor markers which were examined were within normal limits. The CT showed a low-density mass, 19 cm in diameter, in the left lobe of the liver. Swollen lymph nodes were also seen around the stomach and the hepatoduodenal ligament. Due to the large tumor size, and the fact that the patient's symptoms had worsened, a left hepatic lobectomy was performed, before a definitive diagnosis was made. On pathology, the resected tumor was diagnosed as a diffuse large B cell type malignant lymphoma. PET-CT performed after surgery showed an abnormal accumulation of extrahepatic lymph nodes. CHOP with rituximab therapy was given as postoperative chemotherapy. Currently, the patient is in complete remission.
