Case Report
Copyright ©2005 Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 28, 2005; 11(20): 3151-3155
Published online May 28, 2005. doi: 10.3748/wjg.v11.i20.3151
An uncommon clinical presentation of retroperitoneal non-Hodgkin lymphoma successfully treated with chemotherapy: A case report
Chiara Fulignati, Pietro Pantaleo, Greta Cipriani, Marianna Turrini, Rosalia Nicastro, Roberto Mazzanti, Bruno Neri
Chiara Fulignati, Pietro Pantaleo, Greta Cipriani, Marianna Turrini, Rosalia Nicastro, Roberto Mazzanti, Bruno Neri, Department of Internal Medicine, Centre of Experimental and Clinical Oncology, University of Florence, School of Medicine, Viale Morgagni, 85, I-50134 Firenze, Italy
Author contributions: All authors contributed equally to the work.
Correspondence to: Bruno Neri, Department of Internal Medicine, Centre of Experimental and Clinical Oncology, University of Florence, School of Medicine, Viale Morgagni, 85, I-50134 Firenze, Italy. brunoneri@unifil.it
Telephone: +39-554-29611
Received: June 29, 2004
Revised: June 30, 2004
Accepted: August 31, 2004
Published online: May 28, 2005
Abstract

We report the case of a patient affected by an extra-nodal non-Hodgkin lymphoma presenting as a unique, large retroperitoneal mass with an unusual clinical presentation mimicking gastric peptic or neoplastic disease. The patient was successfully treated with a first generation therapy, CHOP modified regimen (cyclophosphamide 600 mg/m2 intravenously on d 1, epirubicin 55 mg/m2 intravenously on d 1, vincristine 1.2 mg/m2 intravenously on d 1, prednisone 60 mg/m2 on d 1-5), and a complete response was achieved. The (18)F-fluorodeoxyglucose positron emission tomography was used to assess the therapy outcome. A brief review of literature is provided.

Keywords: Lymphoma; Grastric disease