Meir Eyal, Handler Chovav, Kaplan Uri, Kopelman Doron, Hatoum Ossama A
Department of Surgery B, Emek Medical Center, Afula, Israel.
Rapaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
J Med Case Rep. 2020 Sep 19;14(1):157. doi: 10.1186/s13256-020-02500-y.
Primary lymphoma of the colon is exceedingly rare and comprises 0.2-1% of all colon tumors. The most common subtype of lymphoma in the colon is non-Hodgkin lymphoma. Symptoms are often nonspecific, and treatment varies between chemotherapy alone and a combination of surgery and chemotherapy.
We describe a case of a Ashkenazi Jew patient who presented in the typical way that carcinoma of the colon might present but turned out to have a very rare type of tumor in both its histology and its location.
There was apparent discordance between the relative bulkiness and gross appearance of the tumor with the unrevealing result of the biopsies, demanding a high level of suspicion as to the actual presence and possible type of such a tumor in the future.
原发性结肠淋巴瘤极为罕见,占所有结肠肿瘤的0.2 - 1%。结肠淋巴瘤最常见的亚型是非霍奇金淋巴瘤。症状通常不具有特异性,治疗方法包括单纯化疗以及手术与化疗相结合。
我们描述了一例阿什肯纳兹犹太患者,其表现出结肠肿瘤的典型症状,但最终发现其肿瘤在组织学和位置上均为非常罕见的类型。
肿瘤的相对大小和大体外观与活检结果不相符,这就要求未来对这类肿瘤的实际存在和可能类型保持高度怀疑。