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Radiation enteritis can cause late complications including stenosis, perforation, fistulization, and bleeding, which sometimes necessitate surgical treatment, but a complication of ileocutaneous fistula is rarely reported. In this paper an excellent result of an operation for ileocutaneous fistula due to radiation enteritis is described. A 68-year-old woman had undergone extended total histerectomy and radiation therapy on uterine cervical cancer. After the operation and the radiation therapy, frequent abdominal pain bothered her and then the intestinal fistula ensued resulted in the fistulization. The fistula was located between two stenotic lesions of the intestine caused by radiation enteritis. Resection of ileum including the two stenotic lesion and the fistula and end-to-end anastomosis relieved the symptoms and the treatment course has been satisfactory. The two stenotic lesions was resected because it was suggested that the two stenotic lesions directly led the fistulization. She is now followed asymptomatically.

Primary malignant lymphoma of the breast is rare. Among 86 cases of this disease reported in Japan, only seven have shown leukemic manifestation. In the present paper a case of primary malignant lymphoma of the breast resulting in leukemic manifestation is reported together with a reveiw of literature.A 78-year-old female with a tumor 8.0 cm in diameter in the left superior lateral breast underwent modified mastectomy. The disease was histologically diagnosed as plasmacytoid immunoblastic lymphoma of the B-cell type. Based on the Ann Arbor classification, it was categorized as stage IEA malignant lymphoma originating from the breast. Despite postoperative radiotherapy and VEPA therapy, the patient presented local recurrence in the 3rd month after operation and leukemic manifestation in the 6th month. She died in the 7th month.