Caz clinic J.M.B.

LIMFOM NON-HODGKIN CU CELULE B MANIFESTAT CA BOALĂ HEPATICĂ

dr. Badea A. Raluca 1, dr. Gheorghiţa Emanoil1,

dr. Cârstea Maria2, dr. Dragomir Ioan2,

dr. Penciu Marius2 1Universitatea Transilvania Braşov

2Spitalul Clinic Judeţean de Urgenţă Braşov

Lymphoma is the name for a group of blood

cancers that start in the lymphatic system. The lymphatic system is part of the body's immune system - the body's defense against infection. Hodgkin lymphoma and non-Hodgkin lymphoma (NHL) are the two main types. Most people with lymphoma have one of many different kinds of NHL. About 11.1 percent of people with lymphoma have Hodgkin lymphoma. There are many types of non-Hodgkin lymphoma. Most NHLs are B-cell lymphomas (about 90 percent). The other types are T-cell and NK-cell lymphomas and immunodeficiency-associated lymphoproliferative disorders.

We present a 58 years old patient, P.G., who was diagnosticated with hepatocarcinoma and was transferred to our department of internal medicine. He presented to our department with a severe icteric syndrome, an intense abdominal pain and anorexia.

We have made this presentation because of the way of the onset in an apparently healthy person, two weeks before the presentation he became clinical manifested and the final real diagnosis after a lot of medical diagnosis procedures was non-Hodgkin lymphoma.

Most patients are treated with chemotherapy, with some physicians employing a multimodality approach incorporating surgery and radiotherapy with chemotherapy. The prognosis is variable with good response to early aggressive combination chemotherapy.

We wanted to emphasize the importance of a complete and accurate clinical exam of a patient and also the vital importance of using all the medical equipment we dispose of.