Ersoz Feyzullah, Toros Ahmet Burak, Bektas Hasan, Ozcan Ozhan, Koc Oguz, Arikan Soykan
Department of Gastroenterology, Istanbul Education and Research Hospital, Istanbul, Turkey.
Cases J. 2010 Jan 21;3(1):33. doi: 10.1186/1757-1626-3-33.
Up to now, there have been only a few reported cases of Mucosa-associated lymphoid tissue (MALT) lymphomas arising in the rectum. Its clinical presentation is indistinguishable from that of rectal carcinoma but the treatment is apparently different. Symptoms of primary lymphomas involving the rectum include; anorexia, weight loss, change in bowel habits, obstruction, and bleeding. These symptoms are not disease specific and can be seen in many other gastrointestinal disorders. Patients with polypoid masses may present with obstruction symptoms. In this rare case, a female patient admitted to the emergency service with prolapsus of a rectal mass.The optimal treatment of rectal MALT lymphoma is not well defined yet, given the rarity of the disease. Surgical resection of the localized lesion and following adjuvant chemotherapy has proved to be an effective treatment option. However, a close and long-lasting follow-up is important.
到目前为止，仅有少数关于直肠黏膜相关淋巴组织（MALT）淋巴瘤的病例报道。其临床表现与直肠癌难以区分，但治疗方法明显不同。原发性直肠淋巴瘤的症状包括：厌食、体重减轻、排便习惯改变、梗阻和出血。这些症状并非该疾病所特有，在许多其他胃肠道疾病中也可见到。有息肉样肿物的患者可能会出现梗阻症状。在这个罕见病例中，一名女性患者因直肠肿物脱垂入住急诊。鉴于该疾病的罕见性，直肠MALT淋巴瘤的最佳治疗方法尚未明确。对局限性病变进行手术切除并辅以化疗已被证明是一种有效的治疗选择。然而，密切且长期的随访很重要。
