Abstract
A 60-year-old woman was admitted to our hospital with upper abdominal pain and jaundice. Computed tomography showed a 9-cm mass that was penetrated by the common hepatic artery in the pancreatic head area. Endoscopic retrograde pancreatography revealed no stenosis or obstruction of the main pancreatic duct, and a cytologic examination of the patient's pancreatic juice was negative. Next, endoscopic ultrasound-guided fine needle aspiration was performed. The immunohistological findings of the specimen revealed a diffuse large B-cell lymphoma. The size of the tumor was significantly reduced after 8 cycles of R-CHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone).
MeSH terms
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Abdominal Pain / diagnostic imaging
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Antibodies, Monoclonal, Murine-Derived / administration & dosage
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Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
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Cyclophosphamide / administration & dosage
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Doxorubicin / administration & dosage
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Endoscopic Ultrasound-Guided Fine Needle Aspiration*
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Female
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Humans
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Jaundice / diagnostic imaging
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Lymphoma, Large B-Cell, Diffuse / diagnosis*
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Lymphoma, Large B-Cell, Diffuse / drug therapy
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Lymphoma, Large B-Cell, Diffuse / pathology
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Middle Aged
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Pancreatic Ducts / pathology*
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Pancreatic Neoplasms / diagnosis*
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Pancreatic Neoplasms / drug therapy
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Pancreatic Neoplasms / pathology
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Prednisone / administration & dosage
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Radiography, Abdominal
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Rituximab
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Tomography, X-Ray Computed*
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Treatment Outcome
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Vincristine / administration & dosage
Substances
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Antibodies, Monoclonal, Murine-Derived
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R-CHOP protocol
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Rituximab
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Vincristine
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Doxorubicin
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Cyclophosphamide
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Prednisone