T-cell lymphoma with raised serum glycoprotein-125(CA-125) and raised ascitic fluid adenosinedeaminase levels initially presenting as ascites: a case report and review of literature

Diagn Cytopathol. 2011 Oct;39(10):770-4. doi: 10.1002/dc.21551. Epub 2010 Oct 1.

Abstract

We report a case of T-cell lymphoma presenting as ascites, omental thickening, and raised serum glycoprotein-125 (CA-125) and high-ascitic fluid adenosinedeaminase levels. This case was clinically suspected to be peritoneal carcinomatosis or peritoneal tuberculosis based on clinical, biochemical, and radiological features. However, effusion cytology, cell block, and immunohistochemistry confirmed this case as T-cell lymphoma. This revealed the role of effusion cytology and cell-block preparation with imunohistochemistry in the diagnosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdomen / diagnostic imaging
  • Adenosine Deaminase / analysis*
  • Adenosine Deaminase / metabolism
  • Ascites / metabolism*
  • Ascitic Fluid / metabolism
  • Biopsy
  • CA-125 Antigen / blood*
  • Fatal Outcome
  • Humans
  • Immunohistochemistry
  • Lymphoma, T-Cell / complications
  • Lymphoma, T-Cell / pathology*
  • Male
  • Middle Aged
  • Ultrasonography

Substances

  • CA-125 Antigen
  • Adenosine Deaminase