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UNEXPECTED DIAGNOSIS OF NON-HODGKIN LYMPHOMA AFTER LIVER TRANSPLANT: A CASE REPORT OF SUSPECTED NEUROENDOCRINE TUMOR RECURRENCE MANAGED WITH ROBOTIC DISTAL PANCREATECTOMY AND SPLENECTOMY

URJİTA DAS, SRİNİVASAN MUTHUKRİSHNAN, MİRANDA JAMES, SEUNG TAE LEE, RAPHAEL PASCAL HENRİ MEİER, CHANDRA SHEKHAR BHATİ

Experimental and Clinical Transplantation - 2025;23(8):560-564

University of Maryland School of Medicine, Baltimore

 

The development of non-Hodgkin lymphoma following liver transplant is rare. We present an unusual case of a 40-year-old female patient with morbid obesity who had undergone a deceased donor liver transplant for an unresectable neuroendocrine tumor of the liver 12 years ago. She presented with a lesion in the tail of pancreas that was suggestive of a recurrent neuroendocrine tumor. She underwent robotic-assisted distal pancre- atectomy and splenectomy, which demonstrated a final diagnosis of splenic marginal zone lymphoma. Although there is a high likelihood of recurrence of neuroen- docrine tumor after transplant, non-Hodgkin lymphoma and posttransplant lymphoproliferative disorder must be considered in the background of transplant and solid-organ malignancy.