Follicular lymphomas, which typically arise in the lymph nodes with spleen, liver, and bone marrow involvement, have generally low occurrence rates in Asian countries as compared with Western countries. Follicular lymphomas of the gastrointestinal tract are rare, and primary colonic follicular lymphomas are particularly rare compared with others found in the small intestine and duodenum. Colonoscopic imaging of colonic lymphomas, including follicular lymphoma, may reveal mucosal ulcerations, erosions, indurations, polypoid mass-like lesions, and diffuse mucosal nodularity. Herein, we report a unique case of a follicular lymphoma of the transverse colon characterized by four sessile diminutive polyps located intermittently with multiple lymph node involvement in a 62-year-old man.
Citations
Citations to this article as recorded by
Linfoma primario folicular rectal E. López Rodríguez, R. Fernández López, I. Borrego Dorado Revista Clínica Española.2021; 221(7): 426. CrossRef
Primary rectal follicular lymphoma E. López Rodríguez, R. Fernández López, I. Borrego Dorado Revista Clínica Española (English Edition).2021; 221(7): 426. CrossRef
A rare case of duodenal-type follicular lymphoma in rectum appearing as hyperplastic polyp with metachronous appearance in duodenum and stomach Ioannis Giotis, George Tribonias, Eirini Zacharopoulou, Maria Palatianou, Nikolaos Leontidis, Panagiota Pantoula, Georgia Vogiatzi, Athanasios Dimitrios Bakasis, Asimina Papanikolaou, Maria Tzouvala Clinical Journal of Gastroenterology.2021; 14(6): 1632. CrossRef
Follicular non-Hodgkin lymphoma with primary colonic involvement Raquel Muñoz González, Pablo Miranda García, Cecilio Santander Vaquero Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
A 34-year-old man was referred to our hospital with gastric polypoid lesions and biopsy-confirmed neuroendocrine tumor (NET). Computed tomography (CT) revealed a 3×3.5×8-cm retroperitoneal mass behind the pancreas, with multiple hepatic metastases. His serum gastrin level was elevated to 1,396 pg/mL. We performed a wedge resection of the stomach, a right hemi-hepatectomy, and a retroperitoneal mass excision. After careful review of the clinical, radiological, histopathological, and immunohistochemical findings, peripancreatic gastrinoma, and synchronous gastric NET were ultimately diagnosed. We reviewed a CT scan that had been performed 6 years previously after surgery for a duodenal perforation. There was no evidence of gastric or hepatic lesions, but the retroperitoneal mass was present at the same site. Had gastrinoma been detected earlier, our patient could have been cured using less invasive treatment. This case demonstrates how important it is to consider Zollinger-Ellison syndrome in patients with a recurrent or aggressive ulcer.
Citations
Citations to this article as recorded by
Insights into Effects/Risks of Chronic Hypergastrinemia and Lifelong PPI Treatment in Man Based on Studies of Patients with Zollinger–Ellison Syndrome Lingaku Lee, Irene Ramos-Alvarez, Tetsuhide Ito, Robert T. Jensen International Journal of Molecular Sciences.2019; 20(20): 5128. CrossRef
Diagnosis of Zollinger–Ellison Syndrome in the Era of Ppis, Faulty Gastrin Assays, Sensitive Imaging and Limited Access to Acid Secretory Testing David C Metz, Guillaume Cadiot, Pierre Poitras, Tetsuhide Ito, Robert T Jensen International Journal of Endocrine Oncology.2017; 4(4): 167. CrossRef