Crisafulli Gregory, Shenasan Pasha, Trivedi Aakash, Radwan Nawras, El-Sedfy Abraham
Department of Surgery, St. Joseph's University Medical Center, 703 Main St, Paterson, NJ 07503, United States.
J Surg Case Rep. 2025 May 30;2025(5):rjaf347. doi: 10.1093/jscr/rjaf347. eCollection 2025 May.
Primary extranodal lymphoma is a rare presentation of B-cell non-Hodgkin's lymphoma (NHL), most commonly found in the gastrointestinal tract. Mantle cell lymphoma (MCL), a rare and aggressive subtype, accounts for only 2.5% of all lymphoid neoplasms and is less commonly localized in the colon. We present a 79-year-old man with abdominal pain and nausea. Imaging revealed cecal wall thickening with ileocolic intussusception. Colonoscopy identified a circumferential cecal mass, necessitating robotic-assisted right hemicolectomy. Final pathology confirmed MCL. The patient recovered well without complications. Colorectal MCL is a rare and aggressive NHL variant requiring a multidisciplinary approach. Surgery plays a crucial role in managing complications and localized disease. Given the lack of standardized treatment protocols, further research is needed to optimize therapeutic strategies and long-term outcomes.
原发性结外淋巴瘤是B细胞非霍奇金淋巴瘤(NHL)的一种罕见表现形式,最常见于胃肠道。套细胞淋巴瘤(MCL)是一种罕见且侵袭性强的亚型,仅占所有淋巴瘤的2.5%,较少局限于结肠。我们报告一例79岁男性,有腹痛和恶心症状。影像学检查显示盲肠壁增厚伴回结肠套叠。结肠镜检查发现一个环绕盲肠的肿物,遂行机器人辅助右半结肠切除术。最终病理确诊为MCL。患者恢复良好,无并发症。结直肠MCL是一种罕见且侵袭性强的NHL变异型,需要多学科方法治疗。手术在处理并发症和局限性疾病方面起着关键作用。鉴于缺乏标准化治疗方案,需要进一步研究以优化治疗策略和改善长期预后。