Ann Hematol. 2000 Mar;79(3):158-60.

Fatal rupture of the spleen caused by infiltration of T-cell lymphoma.

Schiødt I, Duun E, Fischer TK, Christiansen AP, Ralfkiaer E.

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Department of Hematology, Herlev University Hospital, Denmark.

Abstract

Pathological or spontaneous rupture of the spleen has been described in a variety of diseases affecting the spleen, with infections being cited as the cause in most cases. In hematological malignancies it is a rare event, despite the frequent involvement of the spleen in these diseases. It has, however, been described in patients with acute and chronic leukemia, Hodgkin's disease, non-Hodgkin's lymphoma of B-cell origin, mycosis fungoides, and so-called histiocytic lymphoma. Here, we present a fatal case of splenic rupture caused by infiltration of a peripheral T-cell lymphoma, unspecified according to the REAL classification. The importance of a correct diagnosis and fast surgery is emphasized.

PMID:: 10803939; [PubMed - indexed for MEDLINE]

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