Clinicopathological Features of Malignant Lymphoma Detected by Colonoscopy: An Analysis According to the Endoscopic Classification.
- Author:
Kwang Ro JOO
1
;
Suk Kyun YANG
;
Seung Jae MYUNG
;
Hye Sook CHANG
;
Young Min KIM
;
Jong Bum PARK
;
Hae Kyung KIM
;
Jae Won CHOE
;
Do Ha KIM
;
Hwoon Yong JUNG
;
Weon Seon HONG
;
Jin Ho KIM
;
Young Il MIN
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sky@www.amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Malignant lymphoma;
Terminal ileum;
Colon;
Colonoscopic findings
- MeSH:
Abdominal Pain;
Cecum;
Classification*;
Colon;
Colon, Ascending;
Colonoscopy*;
Hemorrhage;
Humans;
Ileum;
Intussusception;
Lymphoma*;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(1):21-27
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: There have been only a few endoscopic studies of lower intestinal lesions of malignant lymphoma. The aims of this study were to classify the ileocolonic lymphomas according to the colonoscopic findings and to reveal the clinicopathological relationship according to the classes. METHODS: Subjects were 24 cases of ileocolonic lymphomas. We evaluated the clinicopathological features according to their endoscopic findings. RESULTS: The chief complaints were abdominal pain, bleeding, and abdominal mass. Twenty-six lesions from 22 patients, excluding 2 multiple lymphomatous polyposis, were endoscopically classified as follows: fungating (10 lesions), ulcerofungating (7 lesions), infiltrative (5 lesions), ulceroinfiltrative (3 lesions), and ulcerative (1 lesion). The location of the lesions was the terminal ileum in 11 lesions, the colon in 10 lesions, and both regions in 5 lesions. Within the large bowel, the cecum was involved most frequently, followed by the ascending colon and the remainder. Most of pathological types were the diffuse large cell and the large cell immunoblastic. There was no relationship between the endoscopic findings and the histologic types. Eight cases were manifested as intussusception. CONCLUSIONS: Ileocolonic lymphomas can be classified endoscopically into five types. Among the types, fungating and ulcerofungating types are the most frequent.
