1. Concurrent colonic mucosa-associated lymphoid tissue lymphoma and adenoma diagnosed after a positive fecal occult blood test: a case report.
- Author
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Pei-Chiang Lin, Jinn-Shiun Chen, Po Deng, Chih-Wei Wang, Chiung-Huei Huang, Reiping Tang, Jy-Ming Chiang, Chien-Yuh Yeh, Pao-Shiu Hsieh, Wen-Sy Tsai, Sum-Fu Chiang, Lin, Pei-Chiang, Chen, Jinn-Shiun, Deng, Po, Wang, Chih-Wei, Huang, Chiung-Huei, Tang, Reiping, Chiang, Jy-Ming, Yeh, Chien-Yuh, and Hsieh, Pao-Shiu
- Subjects
LYMPHOID tissue ,LYMPHOMA diagnosis ,FECAL occult blood tests ,TAIWANESE people ,DISEASES ,INTESTINAL mucosa ,ADENOMA ,B cell lymphoma ,COLON tumors ,COLONOSCOPY ,MULTIPLE tumors ,DIAGNOSIS ,SURGERY - Abstract
Background: Colonic lymphoma is an uncommon presentation of extranodal lymphoma. Colonic mucosa-associated lymphoid tissue lymphoma is a different entity from gastric mucosa-associated lymphoid tissue lymphoma, and very rare. The presentation and management of colonic mucosa-associated lymphoid tissue are highly variable in the literature.Case Presentation: We report the case of a 59-year-old Taiwanese man who underwent a colonoscopy after a positive test for fecal occult blood. His past history included hypertension and hyperthyroidism. The colonoscopy revealed an adenomatous polyp and mucosa-associated lymphoid tissue lymphoma. We successfully performed a polypectomy and endoscopic mucosal resection. The lymphoma was staged according to the Ann Arbor system modified by Musshoff as E-I. Our patient showed no lymphoma recurrence over a 3-year follow-up.Conclusions: Endoscopic mucosal resection for colonic mucosa-associated lymphoid tissue lymphoma without disseminated disease may be feasible. We successfully used colonoscopic treatment without adjuvant therapy to treat early-stage pathogen-free colonic mucosa-associated lymphoid tissue lymphoma. [ABSTRACT FROM AUTHOR]- Published
- 2016
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