A Case of Non-Hodgkin's Lymphoma in a Patient with Crohn's Disease.
- Author:
Hyun Chul KIM
1
;
Sang Woo NAM
;
Yong Keun CHO
;
Hey Jin JEONG
;
Se In KIM
;
Seong Hun KIM
;
Chul Min AN
;
In Hee KIM
;
Sang Wook KIM
;
Seung Ok LEE
;
Soo Teik LEE
Author Information
1. Department of Internal Medicine, Chonbuk National University College of Medicine, Jeonju, Korea. soo@chonbuk.ac.kr
- Publication Type:Case Report ; English Abstract
- Keywords:
Crohn's disease;
Non-Hodgkin's lymphoma
- MeSH:
Adult;
Colonic Neoplasms/*complications/pathology;
Crohn Disease/*complications;
Humans;
Lymphoma, T-Cell/*complications/pathology;
Male
- From:The Korean Journal of Gastroenterology
2006;47(3):233-237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although adenocarcinoma is a well known complication of chronic inflammatory bowel disease, primary gastrointestinal lymphoma occurring in Crohn's disease is rare. A 40-year-old man with 10 year-history of Crohn's disease had multiple longitudinal ulcerative lesions on descending colon in follow-up colonoscopic examination. Microscopic examination of proximal descending colon revealed peripheral T cell lymphoma and other site of the descending colon was consistent with Crohn's disease. The patient reached complete remission of malignant lymphoma after three cycles of combined chemotherapy. He has been well for 10 months with sulfasalazine maintenance therapy but was admitted to the hospital due to spontaneous bowel perforation of ascending colon. Right hemicolectomy was done, but the patient died of post-surgical recurrent mesenteric abscess and sepsis. To the best of our knowledge, this is the first case of Non-Hodgkin's lymphoma complicating Crohn's disease in Korea which was confirmed by immunohistochemical studies.
