Clinical characteristics and endoscopic diagnosis and treatment for colorectal mucosa associated lymphoid tissue lymphoma
10.3760/cma.j.cn321463-20210830-00543
- VernacularTitle:大肠黏膜相关淋巴组织淋巴瘤的临床特征及内镜诊治价值
- Author:
Fangyuan LI
1
;
Xiaolong ZHANG
;
Wan LU
;
Yaohui WANG
;
Chunyang LIU
;
Qinmei FAN
;
Chao YU
;
Qide ZHANG
Author Information
1. 江苏省中医院 南京中医药大学附属医院消化内镜中心，南京 210009
- Keywords:
Intestinal neoplasms;
Colorectal mucosa associated lymphoid tissue lymphoma;
Endoscopic diagnosis and treatment;
Tree-like appearance
- From:
Chinese Journal of Digestive Endoscopy
2022;39(6):484-488
- CountryChina
- Language:Chinese
-
Abstract:
Clinical and endoscopic data of 6 patients with colorectal mucosa associated lymphoid tissue (MALT) lymphoma who were diagnosed by endoscopy in the Digestive Endoscopy Center of Jiangsu Province Hospital of Chinese Medicine from January 2015 to June 2021 were retrospectively analyzed. There were 2 males and 4 females with aged from 62 to 87 years. The lesions were located in rectum in 3 cases, transverse colon in 1 case, sigmoid colon in 1 case, and sigmoid colon and rectum in 1 case. There were 1 case of polyposis type, 2 cases of inflammation type, and 3 cases of submucosal tumor type. The "tree-like appearance (TLA)" found in 5 cases. Endoscopic resection, surgery combined with chemotherapy, Helicobacter pylori eradication and follow-up were performed on 2, 1, 1 and 2 cases, respectively. Five cases had a good prognosis after 21-73 months follow-up, and 1 case had lost to follow-up. No recurrence was found in endoscopic and imaging review. Colorectal MALT lymphoma should be considered when colonoscopy detects a submucosal lesion with TLA sign on the left colon. Endoscopic resection has the potential to be a first-line treatment in the context of early diagnosis.
