2009 Volume 50 Issue 6 Pages 289-296
A 81-year-old woman with angina pectoris and chronic hepatitis C admitted for epigastralgia had liver dysfunction. Ultrasonography showed multiple hypoechoic small masses. These tumors exhibited low density areas by abdominal plain computed tomography, and were not enhanced in the early phase. Moreover those were revealed lower density in the late phase. By magnetic resonance imaging, those appeared as low intensity lesions on T1-weighted image, as iso-intensity on T2-weighted image, and as slightly-enhanced only at marginal parts. She finally died, and we undertook a necropsy after an informed consent was obtained from her family. These tumors were diagnosed as diffuse large B cell malignant lymphoma by histological and immunohistological examinations of the necropsy specimen. No examinations detected space occupied lesions in the other organs or lymph nodes. Therefore, our case was diagnosed as primary hepatic lymphoma associated with chronic hepatitis C.
