Anorectal and gastric peripheral T-cell lymphoma, unspecified in a non-AIDS patient.
10.3904/kjim.2006.21.4.262
- Author:
Eun A EUM
1
;
Hawk KIM
;
Young Min KIM
;
Soon Joo WOO
;
Joon Hyun CHO
;
Young Joo MIN
;
Jae Hoo PARK
Author Information
1. Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. kimhawk@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Rectum;
Peripheral T-cell lymphoma unspecified;
Non-AIDS
- MeSH:
Tomography, X-Ray Computed;
Stomach Neoplasms/*pathology/radiography;
Sigmoidoscopy;
Rectal Neoplasms/*pathology/radiography;
Male;
Lymphoma, T-Cell, Peripheral/*pathology/radiography;
Humans;
Gastroscopy;
Follow-Up Studies;
Diagnosis, Differential;
Biopsy;
Adult;
Acquired Immunodeficiency Syndrome/*diagnosis
- From:The Korean Journal of Internal Medicine
2006;21(4):262-265
- CountryRepublic of Korea
- Language:English
-
Abstract:
Anorectum is a rare location for malignant lymphoma. Involvement of is rare even for the lymphoma associated with acquired immune deficiency syndrome (AIDS), and AIDS has a relatively increased frequency of anorectal lymphoma. Most lymphomas in AIDS patients are of a B-cell origin, and T-cell lymphoma of the gastrointestinal tract is extremely rare. We report here on a case of anorectal and gastric peripheral T-cell lymphoma, unspecified (PTCLu) in a non-AIDS patient. A previously healthy 29-year-old man presented with hematochezia and tenesmus that he had suffered with for the previous 2 months. Sigmoidoscopy showed anal and rectal submucosal tumor. Multiple round-shaped, flat and elevated lesions were noted on the gastric antrum and body as well. He underwent excisional biopsy for the anal mass and the diagnosis was PTCLu. Biopsies of the gastric lesions gave the same diagnosis. There was no lymphoma involved in the bone marrow. At admission, no antibodies against human immunodeficiency virus were detected. He underwent systemic chemotherapy and upfront autologous stem cell transplantation.
