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International Cancer Conference Journal

, Volume 8, Issue 2, pp 66–70 | Cite as

Mass-forming mucosa-associated lymphoid tissue lymphoma of the cecum treated by laparoscopy-assisted bowel resection

  • Yuki Nakamura
  • Kenji MatsudaEmail author
  • Shozo Yokoyama
  • Koichi Tamura
  • Yasuyuki Mitani
  • Hiromitsu Iwamoto
  • Yuki Mizumoto
  • Daisuke Murakami
  • Masakazu Fujimoto
  • Hiroki Yamaue
Case report

Abstract

Colonic mucosa-associated lymphoid tissue (MALT) lymphoma is very rare, especially those which form a mass. Although the characteristics and treatment methods of gastric MALT lymphomas are well established, those of colonic MALT lymphomas have been insufficiently described. Here, we report a case of mass-forming cecal MALT lymphoma that was successfully treated by laparoscopy-assisted bowel resection. A 60-year-old woman with right lower abdominal pain and a palpable tumor was referred to our hospital. Colonoscopy showed a smooth elevated submucosal tumor-like lesion in the cecum. Histological and immunochemical findings were consistent with MALT lymphoma. Serum tumor marker levels were within normal range. Enhanced abdominal computed tomography showed a large tumor 55 mm in diameter in the cecum and edema of a few paracolic lymph nodes. The tumor was diagnosed as cecal MALT lymphoma classified as stage II1 by Lugano classification, and laparoscopy-assisted ileocecal resection was performed. The postoperative course was uneventful and the patient underwent eradication therapy for Helicobacter pylori. A year after the operation she has had no recurrence. In patients with mass-forming colonic MALT lymphoma without dissemination, surgical resection may be a feasible treatment.

Keywords

Colonic mucosa-associated lymphoid tissue lymphoma Helicobacter pylori Laparoscopy-assisted bowel resection 

Notes

Funding

Not applicable.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Consent was obtained from the patient for the publication of this report and the accompanying images.

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Copyright information

© The Japan Society of Clinical Oncology 2019

Authors and Affiliations

  • Yuki Nakamura
    • 1
  • Kenji Matsuda
    • 1
    Email author
  • Shozo Yokoyama
    • 1
  • Koichi Tamura
    • 1
  • Yasuyuki Mitani
    • 1
  • Hiromitsu Iwamoto
    • 1
  • Yuki Mizumoto
    • 1
  • Daisuke Murakami
    • 1
  • Masakazu Fujimoto
    • 2
  • Hiroki Yamaue
    • 1
  1. 1.Second Department of Surgery, School of MedicineWakayama Medical UniversityWakayamaJapan
  2. 2.Department of Human Pathology, School of MedicineWakayama Medical UniversityWakayamaJapan

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