A rare case of duodenal-type follicular lymphoma in rectum appearing as hyperplastic polyp with metachronous appearance in duodenum and stomach
| Autor: | Panagiota Pantoula, George Tribonias, Nikolaos Leontidis, Georgia Vogiatzi, Maria Tzouvala, Athanasios Dimitrios Bakasis, Maria Palatianou, Eirini Zacharopoulou, Ioannis Giotis, Asimina Papanikolaou |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Duodenum Follicular lymphoma Colonic Polyps Colonoscopy Rectum Malignancy digestive system otorhinolaryngologic diseases Humans Medicine Lymphoma Follicular medicine.diagnostic_test business.industry Stomach Gastroenterology General Medicine medicine.disease digestive system diseases Colorectal surgery medicine.anatomical_structure Hyperplastic Polyp Female Radiology business |
| Zdroj: | Clinical Journal of Gastroenterology. 14:1632-1636 |
| ISSN: | 1865-7265 1865-7257 |
| Popis: | Hyperplastic polyps consist a very frequent finding in colonoscopy having a very low potential to malignancy. According to the international guidelines, it is recommended that all polyps should be resected except for diminutive (≤ 5 mm) rectal and rectosigmoid polyps which are predicted with confidence to be hyperplastic. Therefore, in departments where optical diagnosis can be ensured, a "resect and discard" strategy may be implemented for diminutive polyps. In our case, a duodenal-type follicular lymphoma was detected in a 5 mm rectum polyp with hyperplastic appearance. After 4 months, the lymphoma was detected also in stomach and duodenum. Under therapy with Rituximab, she is in remission. To our knowledge, there has never been reported such a case in the literature. Furthermore, it alerts us that we should be very cautious with the optical diagnosis and the "resect and discard strategy". |
| Databáze: | OpenAIRE |
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