Abstract
The patient had noticed a few weeks of minimal dark red bleeding from the rectum and was examined by colonoscopy. There was diffuse low grade colitis (Figure 68.1) affecting the colon with a loss of vascular pattern and diminution of the haustral indentation. In the lower third of the sigmoid colon (at 20cm), there was nodularity of the mucosa with associated hyperemia and small submucosal hemorrhages. Biopsy of this area revealed non- Hodgkin’s lymphoma (NHL) of a diffuse type. Immunochemistry was positive for the B cell marker L26. Other biopsies of the mucosa showed nonspecific chronic inflammation. Staging investigation by gallium and computerized tomography (CT) scans revealed no other foci of lymphoma. Surgical treatment was advised in preference to chemotherapy.
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Bargen JA. Chronic ulcerative colitis associated with malignant disease. Arch. Surg. 1928;17:561–576.
Baker D, Chiprut RO, Rimer D, Lewin KJ, Roseberg MZ. Colonic lymphoma in ulcerative colitis. J. Clin. Gastroenterol. 1985;7:379–386.
Fan CW, Changchien CR, Wang JY, Chen JS, Hsu KC, Tang R, Chiang JM. Primary colorectal lymphoma. Dis. Colon Rectum 2000;43:1277–1282.
Wagonfeld JB, Platz CE, Fishman FL, Sibley RK, Kirsner JB. Multicentric colonic lymphoma complicating ulcerative colitis. Am. J. Dig. Dis. 1977;22:502–508.
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(2006). Multiple Lymphoma and Ulcerative Colitis. In: Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/0-387-36941-4_68
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DOI: https://doi.org/10.1007/0-387-36941-4_68
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