A Case of Splenic Marginal Zone Lymphoma Diagnosed after Splenectomy for ITP

We report a case of splenic marginal zone lymphoma (SMZL) diagnosed after splenectomy for idiopathic thrombocytopenic purpura (ITP). A 30-year-old woman diagnosed with ITP 5 years earlier and treated with steroids did not have the platelets count increase sufficiently, leading to splenectomy using h...

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Veröffentlicht in:	Nippon Shokaki Geka Gakkai zasshi 2005, Vol.38(12), pp.1816-1820
Hauptverfasser:	Tanaka, Makiko, Naitoh, Hiroyuki, Yamamoto, Hiroshi, Tango, Yasuhisa, Tani, Tohru, Ishida, Mitsuaki, Kushima, Ryohji, Okabe, Hidetoshi
Format:	Artikel
Sprache:	jpn
Schlagworte:	hand-assisted laparoscopic surgery idiopathic thrombocytopenic purpura splenic marginal zone lymphoma
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Zusammenfassung:	We report a case of splenic marginal zone lymphoma (SMZL) diagnosed after splenectomy for idiopathic thrombocytopenic purpura (ITP). A 30-year-old woman diagnosed with ITP 5 years earlier and treated with steroids did not have the platelets count increase sufficiently, leading to splenectomy using hand-assisted laparoscopic surgery (HALS). Based on microscopic findings with HE staining and immunohistochemistry staining for CD20 and Ki67, she was diagnosed with SMZL. Platelets counts and PAIgG normalized after splenectomy. These findings suggest that SMZL may have caused ITP.
ISSN:	0386-9768 1348-9372
DOI:	10.5833/jjgs.38.1816