Asymptomatic Chronic Lymphocytic Leukemia – presenting as Gastric lymphoma – A Case Report with Review of Literature
Journal Title: International Journal of Medical and Health Sciences - Year 2012, Vol 1, Issue 3
Abstract
A 60 year old known diabetic male patient attends medical outpatient department for routine diabetic checkup. Clinical examination remains unremarkable. Diabetic status was also under control. Routine complete hemogram showed Total Leucocyte count (TLC) of 2.1 lakhs/cu.mm and Absolute Lymphocytosis of 10 x 109/L. Peripheral smear revealed more than 85% of atypical lymphocytes. Peripheral blood subjected for Flow cytometric analysis and Immunochemistry showed positivity to B cell markers. Patient was diagnosed as a case of asymptomatic chronic lymphocytic leukemia (CLL); Rai stage 0 and anti-leukemic management was initialized. After two weeks, patient presented with generalized gastrointestinal symptoms – diarrhea, vomitings, gastritis, colic etc. Clinical examination was once again uneventful and endoscopy was performed. There was no evident macroscopic lesion. Biopsy from slightly elevated mucosa showed similar cells as that of B-CLL. Thus, further management was planned and case was diagnosed as Extranodal gastric lymphoma with infiltration of B-CLL.We present here a rare case of Asymptomatic CLL presenting as Gastric lymphoma. This report accentuates the precedence of combined and cumulative approach of clinician and a pathologist in present case which led to early diagnosis and management of the patient.
Authors and Affiliations
B V Sai Prasad, P Krishna Prasanthi, Md K Faheem N, K Ramesh, E Sudhakar Reddy
Keywords
Related Articles
- EP ID EP39679
- DOI -
- Views 332
- Downloads 0
Prospective Study of Sickle Beta Thalassemia in A Tertiary Care Hospital
Background: Sickle cell beta thalassemia (Hb S/β Thal) is an inherited form of sickle cell disease that affects red blood cells both in the production of abnormal hemoglobin as well as the decreased synthesis of beta gl...
Understanding Sleep: A Paradigm Shift
Sleep has fascinated since time immorial people across the spectrum of society and is continued even to the present day. It was considered as a passive phenomenon which rejuvenates the whole organism. However, a great...
Total serum Bilirubin level in men with Coronary Artery Disease
Background: Low total bilirubin (TB) has been shown to be inversely related to Coronary artery disease (CAD). Aims: To study the association of TB with CAD [acute myocardial infarction (AMI) and chronic stable angina (C...
Endometrial Adenocarcinoma in a 27 Year Old Woman : A Rare Case Report
Endometrial carcinoma is extremely rare in women younger than 30 years. Most woman with endometrial carcinoma are postmenopausal. Endometrioid adenocarcinoma is the most common form nearly (80%) of endometrial carcinoma...
Tooth Hemisection and Restoration an Alternative To Extraction For A Grossly Decayed Multirooted Tooth - A Case Report
Advances in dentistry, as well as the increased desire of patients to maintain their dentition, have lead to treatment of teeth that once would have been removed. In order to carry out this present day mandate, extensiv...