Primary colorectal lymphoma comprising both components of diffuse large B-cell lymphoma and mucosa-associated lymphoid tissue lymphoma combined with cytomegalovirus colitis

A 16-year-old girl presented to our hospital with diarrhea and abdominal pain. The macroscopic findings of colonoscopy revealed multiple submucosal tumors and multiple ulcers, which were localized in the sigmoid colon, and diffuse granular mucosa which extended to the total colon. The pathological d...

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Veröffentlicht in:Clinical journal of gastroenterology 2016-04, Vol.9 (2), p.59-62
Hauptverfasser: Katsumata, Ryo, Matsumoto, Hiroshi, Motoyasu, Osawa, Murao, Takahisa, Ishii, Manabu, Fujita, Minoru, Tokunaga, Hirotoshi, Akiyama, Takashi, Wada, Hideho, Sugihara, Takashi, Shiotani, Akiko, Haruma, Ken
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container_end_page 62
container_issue 2
container_start_page 59
container_title Clinical journal of gastroenterology
container_volume 9
creator Katsumata, Ryo
Matsumoto, Hiroshi
Motoyasu, Osawa
Murao, Takahisa
Ishii, Manabu
Fujita, Minoru
Tokunaga, Hirotoshi
Akiyama, Takashi
Wada, Hideho
Sugihara, Takashi
Shiotani, Akiko
Haruma, Ken
description A 16-year-old girl presented to our hospital with diarrhea and abdominal pain. The macroscopic findings of colonoscopy revealed multiple submucosal tumors and multiple ulcers, which were localized in the sigmoid colon, and diffuse granular mucosa which extended to the total colon. The pathological diagnosis was malignant lymphoma comprising both components of diffuse large B-cell lymphoma (DLBCL) and mucosa-associated lymphoid tissue (MALT) lymphoma, because the large lymphoma cells were CD20+, CD10−, and CD5−. Furthermore, immunohistochemical analysis of colorectal biopsy samples from multiple ulcers revealed cytomegalovirus (CMV)-positive cells. The patient was diagnosed with primary colorectal lymphoma comprising both components of DLBCL and MALT lymphoma combined with CMV colitis. She received anti-viral medication and chemotherapy.
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subjects Abdominal Surgery
Adolescent
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Antiviral Agents - therapeutic use
Case Report
Colitis - complications
Colitis - drug therapy
Colonic Neoplasms - complications
Colonic Neoplasms - drug therapy
Colorectal Surgery
Cytomegalovirus Infections - complications
Cytomegalovirus Infections - drug therapy
Female
Ganciclovir - therapeutic use
Gastroenterology
Hepatology
Humans
Lymphoma, B-Cell, Marginal Zone - complications
Lymphoma, B-Cell, Marginal Zone - drug therapy
Lymphoma, Large B-Cell, Diffuse - complications
Lymphoma, Large B-Cell, Diffuse - drug therapy
Medicine
Medicine & Public Health
Surgical Oncology
title Primary colorectal lymphoma comprising both components of diffuse large B-cell lymphoma and mucosa-associated lymphoid tissue lymphoma combined with cytomegalovirus colitis
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