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局限于结肠息肉的黏膜相关淋巴组织(MALT)淋巴瘤罕见病例。

Unusual Instance of Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma Confined to a Colonic Polyp.

作者信息

Kiamos Amy, Omman Reeba, Quan J R

机构信息

Internal Medicine, University of Florida College of Medicine, Jacksonville, USA.

Pathology, University of Florida College of Medicine, Jacksonville, USA.

出版信息

Cureus. 2023 Mar 28;15(3):e36791. doi: 10.7759/cureus.36791. eCollection 2023 Mar.

Abstract

Extranodal marginal zone lymphoma (EMZL) of mucosa-associated lymphoid tissue (MALT) commonly affects the gastrointestinal (GI) tract but rarely occurs within the colon. Colonic EMZL is a rare diagnosis accounting for 2.5% of EMZL and less than 0.5% of colon cancers. We present a unique case of asymptomatic colonic EMZL diagnosed on a routine surveillance colonoscopy. The lymphoma was confined to a single colonic polyp presenting endoscopically as a sessile polypoid lesion at the recto-sigmoid junction. The patient was successfully treated with polypectomy with no recurrence of the disease.

摘要

黏膜相关淋巴组织(MALT)的结外边缘区淋巴瘤(EMZL)通常累及胃肠道,但很少发生在结肠内。结肠EMZL是一种罕见的诊断,占EMZL的2.5%,占结肠癌的不到0.5%。我们报告一例在常规监测结肠镜检查时诊断出的无症状结肠EMZL的独特病例。淋巴瘤局限于一个单一的结肠息肉,在内镜下表现为直肠乙状结肠交界处的无蒂息肉样病变。患者通过息肉切除术成功治愈,疾病未复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a7/10145627/3742adb7a95d/cureus-0015-00000036791-i01.jpg

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