Primary non-Hodgkin's lymphoma of the main hepatic duct junction.

摘要: A rare case of primary non-Hodgkin’s lymphoma the main hepatic duct junction is reported. 71-year-old man was admitted for treatment obstructive jaundice. Radiological examination revealed stenosis junction. Biliary drainage not necessary because total bilirubin decreased spontaneously. left and caudate lobectomy, combined with resection bile ducts lymph node dissection, performed preoperative diagnosis cholangiocarcinoma Macroscopic resected specimen tumorous growth in Histological immunochemistry findings disclosed a mucosaassociated lymphoid tissue (MALT) lymphoma. The patient received three courses combination chemotherapy [cyclophosphamide, doxorubicin, vincristine prednisolone (CHOP)], there no evidence recurrence 45 months after surgery. Although extremely difficult to diagnose preoperatively, aggressive surgery followed by chemotherapy, as here, possible curative option.