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Title: Angiocentric T-cell lymphoma of the pancreas presenting as late-onset diabetes mellitus with diabetic retinopathy
Authors: Sanya Sukpanichnant
Tumtip Sangruchi
Plernpit Prasopchoke
Sumit Vatanavicharn
Suchai Charoenratanakul
Vichit Leenutaphong
Kanokvalai Kulthanan
Wanicha Cheunkongkaew
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2001
Citation: Human Pathology. Vol.32, No.7 (2001), 741-745
Abstract: Pancreatic lymphoma presenting with clinical diabetes mellitus (DM) is rare. We report angiocentric T-cell lymphoma of the pancreas in a 65-year-old Thai woman who presented with progressive deterioration of visual acuity of both eyes. She had diabetic retinopathy (DR) diagnosed only 20 months after the diagnosis of DM at the age of 63. She later developed erythematous rashes, fever, and deterioration of consciousness; she eventually died of shock. A skin biopsy and bone marrow examination revealed angiocentric T-cell lymphoma. At autopsy, the pancreas and both eyes were extensively infiltrated by lymphoma. Widespread involvement of nearly all organs but superficial lymphadenopathy was detected. In contrast to other typical cases of long-standing DM, only mild atherosclerosis was noted, and no DR was found. To the best of our knowledge, this is the first case of lymphoma involving the pancreas and both eyes producing clinical DM and DR. Copyright © 2001 by W.B. Saunders Company.
ISSN: 00468177
Appears in Collections:Scopus 2001-2005

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