HIV INDUCED NON HODGKINS LYMPHOMA OF LIVER AND PANCREAS: A CASE REPORT

Dr. Pyntyllilang Sanmiet*, Dr. Albert T Pochury, Prof. S. Bhagyabati Devi and Dr. Duyu Hanang

ABSTRACT

Gastrointestinal tract is the second most common site of Non-Hodgkin's lymphomas (NHLs) after nodal lymphoma, accounting for 15-20% of all NHL cases.[1] Stomach is the most common site of extranodal gastrointestinal lymphoma. Although secondary involvement of the pancreas is seen often in cases of gastrointestinal lymphoma, primary pancreatic lymphoma (PPL) is an extremely rare disease that can mimic pancreatic carcinoma. Fewer than 2% of extra-nodal malignant lymphomas and 0.5% of all pancreatic masses constitute PPL. The incidence is expected to be higher in patients of human immunodeficiency virus (HIV) but occurrence of PPL in acquired immunedeficiency syndrome (AIDS) is limited to case reports. The liver is most commonly involved in non-Hodgkin lymphomas (NHL) next to lymph nodes, spleen, and bone marrow. In the vast majority of cases hepatic involvement reflects secondary dissemination in advanced disease.[2]

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