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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2013; 34(02): 114-116
DOI: 10.4103/0971-5851.116197
CASE REPORT

A diagnostic dilemma in a patient with lymphoma

Kajal Shah
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Kumar Prabhash
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Vanita Noronha
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Prachi Patil
Department of Medical Gastrointestinal Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Sangeeta Desai
Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Amit Joshi
Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
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Abstract

We report the case of a 49-year-old man with a diagnosis of gastric diffuse large B cell non-Hodgkin′s lymphoma, treated with two lines of chemotherapy followed by radiotherapy, and presented about 3 months after completing therapy with recurrent episodes of epigastric pain, gastrointestinal (GI) bleeding. Computed tomography scan, positron emission tomography scan, and upper GI endoscopy revealed gastric wall thickening and lymphadenopathy. Biopsy and histopathology ultimately revealed Strongyloides stercoralis infection that was mimicking disease recurrence. Opportunistic parasitic infections represent one of the major challenges in the management of cancer patients.

Keywords

Non-Hodgkin′s lymphoma - opportunistic infections - Strongyloides stercoralis


Publication History

Article published online:
20 July 2021

© 2013. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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