SIMULTANEOUS RELAPSE OF LIVER-CELL CARCINOMA AND NON-HODGKINS-LYMPHOMA IN THE LIVER - REPORT OF A CASE WITH DIAGNOSIS BY ULTRASONICALLY GUIDED FINE-NEEDLE ASPIRATION BIOPSY

A 50-year-old man was diagnosed with non-Hodgkin's lymphoma (NHL) in 1 980; he was treated with chemotherapy and achieved complete remission. Six years later he reported tipper abdominal pain. Ultrasound (LSS) s howed a 3-cm mass in the right lobe of the liver. Needle aspiration sh owed hepatocellular carcinoma (HCC). The patient was treated with radi cal resection of the tumor. Three years later (June 1989), abdominal U S showed two lesions in the right lobe of the the liver. Needle aspira tion and tissue cope biopsy showed NHL in one lesion and HCC in the ot her. The lymphomatous lesion resolved after chemotherapy. The patient died 30 months later (January 1992) from a gastrointestinal hemorrhage ; the NHL was in complete remission. This case of the simultaneous pre sence of HCC and hepatic lymphoma is, to our knowledge, the first diag nosed in vivo.