Pancreatic Non-Hodgkin Lymphoma, a rare cause for obstructive jaundice. A Case reports

INTRODUCTIONPrimary pancreatic lymphoma (PPL) is an uncommon condition. Clinical features of PPL are nonspecific & likely to be misrecognized as pancreatic malignancy. CASE PRESENTATION71 years old male patient presented with upper abdominal pain with obstructive jaundice. CLINICAL FINDINGS AND INVESTIGATIONSExamination reveals RHC tenderness and deep icteric. CT shows a large pancreatic head and uncinate process mass. Final diagnosis made with USS guided core biopsy which confirmed B cell, Non-Hodgkin Lymphoma (NHL). INTERVENTION AND OUTCOMEComplete remission of PPL occurred following six cycles of chemotherapy with R-CHOP regimen. RELEVANCE AND IMPACTPPL is rare condition, accounts 1% of extra nodal lymphomas and 0.5% of malignant pancreatic neoplasm. Ultrasonography, Endoscopic ultrasonography, CT and MRI are the imaging modalities use to diagnose the pancreatic neoplasm. Biopsy of all pancreatic lesion is crucial which can diagnose curable condition such as PPL. Combined therapy with chemotherapy and radiotherapy without surgery is advisable for PPL.