A CASE OF PRIMARY INTESTINAL MALIGNANT LYMPHOMA SHOWING VERRUCIFORM-LIKE EROSION

DOI
  • SAKABE Hideaki
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • FUKANO Miya
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • KOYAMA Shigeki
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • SHIOMI Takehiko
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • FUJIYAMA Yoshihide
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • BAMBA Tadao
    2nd Department of Internal Medicine, Shiga University of Medical Science
  • HOSODA Shiro
    2nd Department of Internal Medicine, Shiga University of Medical Science

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Other Title
  • タコイボびらん様形態を呈した腸管悪性リンパ腫の1症例

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Description

This case report describes a primary diffuse malignant lymphoma located at the submucosa of the entire large intestine. The patient was a 78-year-old female who hospitalized with hypoproteinemia and dyspnea. Examination of the gastro-intestinal tract was performed because of severe anemia and a bloody stool. Colonoscopy revealed diffuse verrucif orm -like erosions on the entire large intestine accompanied by a prominent ileo-cecal valve and an erosive polypoid lesion of the ascending colon. Biopsy specimens showed marked lymphoid proliferation of the submucosa of the large intestine, which revealed a malignant lymphoma of the diffuse, small cell type. Generally, primary intestinal lymphoma shows various endoscopic findings. The endoscopic findings of this case should be kept in mind in order to differentiate cases like it from inflammatory bowel diseases and infectious colitises.

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