Massive ascites as a presenting manifestation of chronic lymphocytic leukemia

Ascites is not an uncommon manifestation of certain solid tumors like gastrointestinal malignancies, ovarian cancer and breast cancer. However, it is unusual to encounter ascites in patients with hematological malignancies especially chronic leukemia. The patient described here presented with massiv...

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Published inWorld journal of gastroenterology : WJG Vol. 14; no. 22; pp. 3594 - 3597
Main Authors Siddiqui, Neelam, Al-Amoudi, Saeed, Aleem, Aamer, Arafah, Maha, Al-Gwaiz, Layla
Format Journal Article
LanguageEnglish
Published United States Department of Medicine, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia%Department of Pathology, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia 14.06.2008
The WJG Press and Baishideng
Subjects
Aged
Ascites - complications
Ascites - diagnosis
Ascites - pathology
Ascitic Fluid - pathology
B-Lymphocytes - pathology
Case Report
Humans
Leukemia, Lymphocytic, Chronic, B-Cell - complications
Leukemia, Lymphocytic, Chronic, B-Cell - diagnosis
Leukemia, Lymphocytic, Chronic, B-Cell - pathology
Male
慢性淋巴细胞白血病
治疗方法
Ascites
Chronic lymphocytic leukemia
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Summary:Ascites is not an uncommon manifestation of certain solid tumors like gastrointestinal malignancies, ovarian cancer and breast cancer. However, it is unusual to encounter ascites in patients with hematological malignancies especially chronic leukemia. The patient described here presented with massive ascites and blood lymphocytosis. Further studies confirmed the diagnosis of chronic lymphocytic leukemia with ascites. The ascitic fluid was exudative, consisting of mature-looking B-lymphocytes, which were morphologically and immunophenotypically similar to peripheral blood and bone marrow cells. The patient was treated with chemotherapy and achieved a good response and diminution of ascitic fluid accumulation.
Bibliography:Chronic lymphocytic leukemia
R733.7
Ascites; Chronic lymphocytic leukemia
Ascites
14-1219/R
ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Correspondence to: Dr. Aamer Aleem, MBBS, MRCP, MRCPath, Assistant Professor & Consultant Hematologist, King Khalid University Hospital & College of Medicine, PO Box 7805, Riyadh 11472, Saudi Arabia. aameraleem@hotmail.com
Author contributions: Siddiqui N, Al-Amoudi S, Aleem A wrote the manuscript; Arafah M and Al-Gwaiz L prepared the figures and critically revised the manuscript.
Fax: +966-1-4679277
Telephone: +966-1-4671771
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.14.3594