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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(02): 159-162
DOI: 10.1055/s-0040-1712859
Case Report

Primary B-Cell Lymphoma of Caecum Presenting as an Ulcerative Lesion in a Young Male

Arvind Bamanikar
1   Department of Medicine, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India
,
Swapnil Patil
1   Department of Medicine, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India
,
Shivam Sharma
1   Department of Medicine, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India
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Abstract

Extra nodal site of non–Hodgkin’s lymphoma is mostly in the gastrointestinal tract. Large intestine is rarely affected compared with stomach or small bowel. The colon is affected in 0.4% of cases approximately. High index of suspicion is required to establish the diagnosis, since there may be no specific signs. Here we report a case of a 28-year-old male, who presented with diarrhea , abdominal pain and weight loss of 2-month duration and diagnosed as non-Hodgkin’s lymphoma (NHL) of the cecum as B-cell lymphoma, unclassified (BCLU) according to World Health Organization (WHO) guidelines.

Keywords

non-Hodgkin’s lymphoma - extra nodal - cecum - BCLU


Publication History

Article published online:
03 July 2020

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  • References

  • 1 Kumar V, Abbas AK, Aster JC. Diseases of white blood cells, lymph nodes, spleen and thymus. Robbins and Cotran Pathologic Basis of Disease. Vol. 1. 9th ed. India: Reed Elsevier; 2014: 579-628
    Google Scholar
  • 2 Kumar KM, Indira V, Reddy CK, Swetha K, Vujhini SK. Diffuse large B-cell lymphoma of the caecum in a non-HIV patient - a rare occurrence: case report. Sch Acad J Biosci 2014; 2 (09) 613-617
    Google Scholar
  • 3 Bairey O, Ruchlemer R, Shpilberg O. Non-Hodgkin’s lymphomas of the colon. Isr Med Assoc J 2006; 8 (12) 832-835
    PubMedGoogle Scholar
  • 4 Dawson IM, Cornes JS, Morson BC. Primary malignant lymphoid tumours of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961; 49: 80-89
    CrossrefPubMedGoogle Scholar
  • 5 Krol AD, le Cessie S, Snijder S, Kluin-Nelemans JC, Kluin PM, Noordijk EM. Primary extranodal non-Hodgkin’s lymphoma (NHL): the impact of alternative definitions tested in the comprehensive cancer centre West population-based NHL registry. Ann Oncol 2003; 14 (01) 131-139
    CrossrefPubMedGoogle Scholar
  • 6 Cai S, Cannizzo Jr F, Bullard Dunn KM, Gibbs JF, Czuczman M, Rajput A. The role of surgical intervention in non-Hodgkin’s lymphoma of the colon and rectum. Am J Surg 2007; 193 (03) 409-412, discussion 412
    CrossrefPubMedGoogle Scholar
  • 7 Gavriilidis P, Christoforidou B, Michalopoulou I, Nikolaidou A. Primary ileocaecal B-cell non-Hodgkin lymphoma (NHL): a rare underlying cause of right iliac fossa pain. BMJ Case Rep 2013; 2013: bcr2013009052
    CrossrefPubMedGoogle Scholar
  • 8 Wu PH, Chu KE, Lin YM, Huang SH, Wu CC. T-Cell Lymphomas Presenting as Colon Ulcers and Eosinophilia. Case Rep Gastroenterol 2015; 9 (02) 246-252
    CrossrefPubMedGoogle Scholar
  • 9 Jayabackthan L, Murgi SB, Graham S, Kini RG. A rare case of primary lymphoma of the caecum presenting as intussusception. J Lab Physicians 2013; 5 (02) 118-120
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Risio D, Percario R, Legnini M. et al. Diffuse large B-cell lymphoma of the colon with synchronous liver metastasis: a rare case report mimicking metastatic colorectal adenocarcinoma. BMC Surg 2014; 14: 75
    CrossrefPubMedGoogle Scholar
  • 11 Seki R, Ohshima K, Fujisak T. et al. Prognostic impact of immunohistochemical biomarkers in diffuse large B-cell lymphoma in the rituximab era. Cancer Sci 2019; 100 (10) 1842-1847
    Google Scholar