Colonoscopic Manifestations of Primary Colorectal Lymphoma

Wang, M.-H.; Wong, Jau Min; Lien, Han‐Chung; Lin, Chi‐Yun; Wang, C.-Y.

doi:10.1055/s-2001-15320

Cited by 36 publications

(38 citation statements)

References 11 publications

(13 reference statements)

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“…In the study conducted in 4 continents with 1378 patients, Anderson et al [17] have shown that the distribution of NHL subtypes differs in various geographical areas and suggested that this could be a reflection of differences in etiological factors or the host response to these factors. Unlike western countries, frequency of T cell lymphoma in the East is reported to be 17.9%-42% [18,19] . Primary colorectal lymphoma differs from its gastric counterpart.…”

Section: Definition Types and Etiologymentioning

confidence: 99%

Primary colorectal lymphoma: An overview

Stanojević

Nestorović²,

Branković³

et al. 2011

WJGO

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Lymphomas represent common hematological malignancies with increasing incidence in recent years. The major site of extranodal non-Hodgkin lymphoma is the gastrointestinal tract. Involvement of the large intestine is rare in comparison to the stomach or small bowel. The disease appears later in life, predominantly in the male population. Complaints are nonspecific, requiring a high index of suspicion in order to establish the diagnosis. The treatment varies from chemotherapy alone to multimodal therapies combining surgery, chemotherapy and radiotherapy. The small number of patients with various histological subtypes and different stage at presentation results in unclear protocol for the treatment of primary colorectal lymphoma. The purpose of this paper is to review current data on primary lymphoma of the colon and rectum while analyzing reported case series and published material on the subject.

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Section: Definition Types and Etiologymentioning

confidence: 99%

Primary colorectal lymphoma: An overview

Stanojević

Nestorović²,

Branković³

et al. 2011

WJGO

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“…In the West, almost all primary colorectal lymphomas have been reported to be of the B-cell lineage (6,7). However, some cases of primary colorectal T-cell lymphoma have been reported from the East (8)(9)(10)(11)(12).…”

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confidence: 99%

Primary Colon Lymphoma in Korea: A KASID (Korean Association for the Study of Intestinal Diseases) Study

et al. 2005

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Although almost all primary colorectal lymphomas are of B-cell lineage in Western countries, primary colorectal T-cell lymphomas are not uncommon in the East. The aim of this study was to review the clinical characteristics and treatment outcomes of primary colorectal lymphomas, with special emphasis on the differences between T-cell and B-cell lymphomas. Ninety-five cases of primary colorectal lymphomas that satisfied Dawson's criteria were identified from the clinical databases of 13 university hospitals in Korea. The mean age at the time of presentation was 51.1 years and the male:female ratio was 64:31. The clinical information, including endoscopic and histological characteristics, was retrospectively analyzed. Of the primary colorectal lymphomas, 78 cases (82.1%) were of B-lineage and 17 cases (17.9%) were of T-cell lineage. Patients with T-cell lymphomas presented at a younger age than patients with B-cell lymphomas (42.8 vs 52.9 years, respectively; P = 0.016). The most common presenting symptom was abdominal pain (87.1%) for B-cell lymphomas, whereas hematochezia or night fever was more common for T-cell lymphomas (52.9% and 35.3%, respectively). The most common endoscopic type was fungating mass (54.0%) for B-cell lymphomas and ulcerative/ulcero-infiltrative lesions (80.0%) for T-cell lymphomas. Intussusception was more common in B-cell lymphomas than in T-cell lymphomas (30.8% vs 5.9%, respectively; P = 0.035), but perforation was more common in T-cell lymphomas than in B-cell lymphomas (23.5% vs 3.8%, respectively; P = 0.005). The prognosis was significantly worse for T-cell lymphomas than for B-cell lymphomas (P = 0.002). Primary colorectal T-cell lymphomas are characterized by multifocal ulcerative lesions in relatively young patients, a high rate of hematochezia, fever, or perforation, and a poor prognosis even for cases of localized disease.

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“…6 T hücreli lenfomaların prognozlarının daha kötü olduğu bildirilmektedir. 8 Tanıda kolonoskopi ve bilgisayarlı tomografi sık olarak kullanılır. Bilgisayarlı tomografi ile lezyonun lokalizasyonu ve görüntülenmesi yapılır.…”

Section: Discussionunclassified

Non-Hodgkin's Lymphoma of the Colon: Case Report

Topal¹,

Akbulut²,

Topal³

et al. 2012

Sakarya Med J

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GirişKolonun primer lenfoması gastrointestinal sistemin oldukça nadir bir tümörüdür, kolon malignitelerinin yalnızca % 0.2-1.2 sini oluşturur. Kolonda en sık görülen lenfoma non-Hodgkin lenfoma(NHL)dır.1 Lenfomalar gastrointestinal sistemde en çok %50-60 oranı midede, ikinci sık-lıkla %20-30 oranı ile ince barsakta ve %10-20 oranı ile kolon ve rektumda izlenmektedir. İnsidansı 2:1 oranında erkeklerde daha fazladır.2 Erken tanı komplikasyonların önlenmesinde önemlidir.

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Colonoscopic Manifestations of Primary Colorectal Lymphoma

Abstract: Based on the analysis of colonoscopic records, we have proposed three main types of primary colorectal lymphoma. An unusually high proportion of T-cell lineage lymphomas was noted, but as the number of cases was low, further study is still needed for confirmation.

Cited by 36 publications

References 11 publications

Primary colorectal lymphoma: An overview

Primary colorectal lymphoma: An overview

Primary Colon Lymphoma in Korea: A KASID (Korean Association for the Study of Intestinal Diseases) Study

Non-Hodgkin's Lymphoma of the Colon: Case Report

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