- Summary of the primary pancreatic lymphoma cases from 2 referral hospitals in the Western regions of Saudi Arabia.
| Age/gender | Site in pancreas | Procedure | Clinical | Radiology | Diagnosis | Treatment | Follow-up | |
|---|---|---|---|---|---|---|---|---|
| 1 | 37/F | head | EUS-needle core | Abdominal and back pain, nausea, weight loss | Solid mass (10x7.5 cm | DLBCL | R-CHOP | Died after 6 months |
| 2 | 52/M | head | Excisional biopsy after frozen section | Abdominal pain, weight loss | Solid mass (5x4.5 cm | DLBCL | R-CHOP | Died after 14 months |
| 3 | 57/F | head | EUS-needle core | Abdominal pain, jaundice | Solid mass involving the whole pancreas (6x5.3 cm) | Follicular lymphoma, Grade 1 | Not available | Not available |
| 4 | 47/M | head | CT guided Core biopsy | Abdominal pain, nausea, vomiting, weight loss, fever, night sweats | Solid mass (8.6x6.5 cm | DLBCL | R-CHOP | 3 months. Lost follow up |
| 5 | 36/M | head | CT guided Core biopsy | HIV +, Abdominal pain, jaundice, nausea, vomiting, weight loss. | Solid mass involving the whole pancreas (9.6x8 cm) | DLBCL | R-CHOP | disease progression, sepsis, CMV viremia and died 5 months after diagnosis |
| 6 | 71/M | Tail | CT guided Core biopsy | Abdominal pain, nausea, weight loss. | Solid mass involving tail of the pancreas (9x6.1 cm) | High-grade b cell lymphoma | R-CHOP | 2 months follow up |
| 7 | 60/F | Tail | Distal pancreatectomy resection | fever, weight loss, nausea, night sweat | Distal pancreas and splenomegaly (4.2x 3.1cm) | MALT | Surgical resection and splenectomy | 16 months follow up |
| 8 | 61/ M | head | CT guided Core biopsy | Abdominal pain, loss of weight | Solid mass (4.5x4 cm) | DLBCL | R-CHOP | 23 months follow up |
EUS: Endoscopic ultrasound, CT: Computed tomography, DLBCL: diffuse large b-cell lymphoma, MALT: Mucosa-associated lymphoid tissue, R-CHOP: rituximab, cyclophosphamide, doxorubicin hydrochloride, vincristine sulfate, and prednisone, CMV: Cytomegalovirus