Korean J Gastrointest Endosc > Volume 7(1); 1987 > Article

Korean Journal of Gastrointestinal Endoscopy 1987;7(1): 53-57.

대장 및 소장에 병발한 악성임파종 1예 ( Concurrent Malignant Lymphoma of the Colon and Small Bowel as the Primary Origin )

이준성, 조성원, 심찬섭, 김재준, 유희, 이동화 (Joon Seong Lee, Seong Won Cho, Chan Sup Shim, Jae Joon Kim, Hee Yoo and Dong Hwa Lee)

Abstract

Primary gastrointestinal lymphoma primarily confined to gastrointestinal tract is relatively rare diaease. Although the lymphoma primarily involved colorectum or small bowel was commonly reported than primary gastric lymphoma in Korea, the concurrent primary lymphoma of colon and small bowel is very rare in reported cases. We report a case of combined primary malignant lymphoma of the jejunum and cecum, who was admitted due to melena and anemia. She had right hemicolectomy and end-to-side ileotransverse colostomy at 2 months ago, due to primary colon lymphoma. The laparotomy was performed and identified hard, 2 x 3 cm sized masses on distal 25 cm, 80 cm and 150 cm from the Treitz ligament. The histology of these small ma showed histiocytic lymphoma as same as cecal specimen. In general, the small bowel lymphoma shaws poor prognosis than gastric or colorectal lymphoma due to diffieulty in diagnosis and late symptoms, but this problem could be resolved through the knowledge about primary gastrointestinal lymphoma and the development of diagnostic methods.