Primary biliary lymphoma mimicking cholangiocarcinoma: a characteristic feature of discrepant CT and direct cholangiography findings

J Korean Med Sci. 2009 Oct;24(5):956-9. doi: 10.3346/jkms.2009.24.5.956. Epub 2009 Sep 23.

Abstract

Primary non-Hodgkin's lymphoma arising from the bile duct is extremely rare and the reported imaging features do not differ from those of cholangiocarcinoma of the bile duct. We report a case of a patient with extranodal marginal zone B-cell lymphoma of mucosa associated lymphoid tissue (MALT), who presented with obstructive jaundice and describe the distinctive radiologic features that may suggest the correct preoperative diagnosis of primary lymphoma of the bile duct. Primary MALT lymphoma of the extrahepatic bile duct should be considered in the differential diagnosis when there is a mismatch in imaging findings on computed tomography or magnetic resonance imaging and cholangiography.

Keywords: Bile Ducts, Extrahepatic; Cholangiography; Lymphoma; Magnetic Resonance Imaging; Tomography, Spiral Computed.

Publication types

  • Case Reports

MeSH terms

  • Bile Duct Neoplasms / complications
  • Bile Duct Neoplasms / diagnosis*
  • Bile Duct Neoplasms / diagnostic imaging
  • Bile Ducts, Extrahepatic*
  • Cholangiocarcinoma / diagnosis
  • Cholangiography
  • Diagnosis, Differential
  • Humans
  • Jaundice, Obstructive / complications
  • Jaundice, Obstructive / diagnosis
  • Lymphoma, B-Cell, Marginal Zone / complications
  • Lymphoma, B-Cell, Marginal Zone / diagnosis*
  • Lymphoma, B-Cell, Marginal Zone / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed