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Journal of Korean Medical Science logoLink to Journal of Korean Medical Science
. 1999 Dec;14(6):671–674. doi: 10.3346/jkms.1999.14.6.671

Hepatosplenic B-cell lymphoma associated with hemophagocytic syndrome: a case report.

S Y Kwon 1, J J Lee 1, I J Chung 1, H J Kim 1, M R Park 1, H S Kim 1, C S Park 1
PMCID: PMC3054438  PMID: 10642947

Abstract

While T-cell non-Hodgkin's lymphoma (NHL) associated with hemophagocytic syndrome (HPS) has been frequently observed, B-cell NHL associated with HPS has been rarely reported. We report a case of hepatosplenic B-cell lymphoma associated with HPS in a 41-year-old woman who presented with fever of unknown origin. An abdominal CT scan revealed splenomegaly with focal splenic infarction. Splenectomy and a liver wedge biopsy showed sinusoidal-pattern infiltration of medium to large tumor cells with positive reaction to a B-lymphocyte marker. Findings on bone marrow examination showed proliferation of histiocytes with avid hemophagocytosis.

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