A Rare Case of Waldenstrom Macroglobulinemia of the Rectosigmoid Colon

Autor: Mark J. Sterling, Lori Olans, Michael B. Russell, Monika Pilichowska, Sara Zelman, Amin Hojat
Rok vydání: 2021
Předmět:
Zdroj: ACG Case Reports Journal
ISSN: 2326-3253
DOI: 10.14309/crj.0000000000000689
Popis: Waldenstrom macroglobulinemia is an uncommon mature B-cell lymphoma characterized by monoclonal immunoglobulin M protein in peripheral blood and lymphoplasmacytic cells in bone marrow and/or extramedullary sites. The gastrointestinal tract is a rare site of involvement. The diagnosis is based on clinicopathologic findings, although somatic mutations, such as MYD88, can aid in the diagnosis. We present a patient with irregular stools diagnosed with Waldenstrom macroglobulinemia involving the rectosigmoid colon by histopathology and immunohistochemistry on colonic biopsies, immunoglobulin M protein in serum, clonal plasma cells in bone marrow, and MYD88 mutation in colonic and bone marrow specimens.
Databáze: OpenAIRE