A rare case of duodenal-type follicular lymphoma in rectum appearing as hyperplastic polyp with metachronous appearance in duodenum and stomach
Hyperplastic polyps consist a very frequent finding in colonoscopy having a very low potential to malignancy. According to the international guidelines, it is recommended that all polyps should be resected except for diminutive (≤ 5 mm) rectal and rectosigmoid polyps which are predicted with confide...
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| Veröffentlicht in: | Clinical journal of gastroenterology 2021-12, Vol.14 (6), p.1632-1636 |
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| container_title | Clinical journal of gastroenterology |
| container_volume | 14 |
| creator | Giotis, Ioannis Tribonias, George Zacharopoulou, Eirini Palatianou, Maria Leontidis, Nikolaos Pantoula, Panagiota Vogiatzi, Georgia Bakasis, Athanasios Dimitrios Papanikolaou, Asimina Tzouvala, Maria |
| description | Hyperplastic polyps consist a very frequent finding in colonoscopy having a very low potential to malignancy. According to the international guidelines, it is recommended that all polyps should be resected except for diminutive (≤ 5 mm) rectal and rectosigmoid polyps which are predicted with confidence to be hyperplastic. Therefore, in departments where optical diagnosis can be ensured, a “resect and discard” strategy may be implemented for diminutive polyps. In our case, a duodenal-type follicular lymphoma was detected in a 5 mm rectum polyp with hyperplastic appearance. After 4 months, the lymphoma was detected also in stomach and duodenum. Under therapy with Rituximab, she is in remission. To our knowledge, there has never been reported such a case in the literature. Furthermore, it alerts us that we should be very cautious with the optical diagnosis and the “resect and discard strategy”. |
| doi_str_mv | 10.1007/s12328-021-01501-8 |
| format | Article |
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| source | Springer Online Journals Complete |
| subjects | Abdominal Surgery Case Report Colorectal Surgery Gastroenterology Hepatology Medicine Medicine & Public Health Surgical Oncology |
| title | A rare case of duodenal-type follicular lymphoma in rectum appearing as hyperplastic polyp with metachronous appearance in duodenum and stomach |
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