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B Cell Lymphoma Unclassifiable with Features Intermediate Between Diffuse Large B Cell and Burkitt Lymphoma—Presented with Multiple Lymphomatous Polyposis of Gastrointestinal Tract. J Gastrointest Cancer 2011; 42:282-6. [DOI: 10.1007/s12029-010-9244-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Remes-Troche JM, De-Anda J, Ochoa V, Barreto-Zuñiga R, Arista-Nasr J, Valdovinos MA. A rare case of multiple lymphomatous polyposis with widespread involvement of the gastrointestinal tract. Arch Pathol Lab Med 2003; 127:1028-30. [PMID: 12873180 DOI: 10.5858/2003-127-1028-arcoml] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Multiple lymphomatous polyposis (MLP) is an uncommon type of primary non-Hodgkin gastrointestinal (GI) B-cell lymphoma characterized by the presence of multiple polyps along the GI tract. Malignant cells of MLP have mantle cell characteristics and thus are considered to be the counterpart of the mantle cell lymphoma (MCL) in the GI tract. Since 1961, no more than 70 well-documented cases have been published. We report the case of 53-year-old man diagnosed as having MLP. The patient presented with diffuse abdominal pain, chronic lower GI bleeding, peripheral lymphadenopathy, and weight loss. The lymphomatous polyps extended from the esophagus to the rectum, with bone marrow infiltration. Immunohistologic findings were characteristic of MCL. The patient was treated with a combined cyclophosphamide, vincristine, and prednisone chemotherapy regimen, resulting in a partial response.
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Affiliation(s)
- José M Remes-Troche
- Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México City, México.
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Onishi Y, Fujisawa T, Maeda M, Sakamoto N, Sakaguchi K, Kuroda S, Toyoda M, Teranishi T, Miyamoto K, Kusumoto C, Nishigami T. Large mucosa‐associated lymphoid tissue lymphoma simulating multiple polypoid lesions at the cecum and rectum. Dig Endosc 2002. [DOI: 10.1046/j.1443-1661.2001.00139.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- Yutaka Onishi
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Takashi Fujisawa
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Mitsuo Maeda
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Norikazu Sakamoto
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Kazuhiko Sakaguchi
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Shoji Kuroda
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Masanori Toyoda
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Tetsuya Teranishi
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Katsufumi Miyamoto
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Chosei Kusumoto
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
| | - Takayuki Nishigami
- Departments of *Internal Medicine and †Surgery, Harima Hospital of Ishikawajima‐harima Heavy Industries, Health Insurance Society and ‡Second Department of Pathology, Hyogo College of Medicine, Hyogo, Japan
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Hosing C, Freedman RS, McLaughlin P, Malpica A, Fornage BD, Kudelka AP. Diffuse large B-cell non-Hodgkin's lymphoma presenting as a vaginal mass in a patient with a history of intestinal mucosa-associated lymphoid tissue (MALT) lymphoma. Am J Clin Oncol 2001; 24:204-8. [PMID: 11319299 DOI: 10.1097/00000421-200104000-00021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Vaginal involvement in non-Hodgkin's lymphoma is uncommon and is often secondary to disseminated disease. Primary disease at this site is quite rare. We present here an unusual case of a patient who developed a diffuse large B-cell lymphoma presenting as a vaginal mass after having been treated for primary intestinal mucosa-associated lymphoid tissue (MALT) lymphoma 4 years earlier. Combined chemotherapy and radiation therapy for the intestinal MALT lymphoma produced complete remission that lasted for 2 years. Chemotherapy given for the diffuse large B-cell lymphoma with secondary vaginal involvement produced a second complete remission. The second remission was consolidated with high-dose chemotherapy and autologous bone marrow transplantation. Although the patient died from complications related to the transplant procedure, the disease was in complete remission at the time of her death. Given the rarity of primary intestinal MALT lymphoma and primary vaginal lymphoma, no standard treatment has been established. Treatment options have included chemotherapy, radiation therapy, or surgery, given alone or in combination.
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MESH Headings
- Combined Modality Therapy
- Female
- Humans
- Intestinal Neoplasms/therapy
- Lymphoma, B-Cell, Marginal Zone/therapy
- Lymphoma, Large B-Cell, Diffuse/diagnosis
- Lymphoma, Large B-Cell, Diffuse/pathology
- Lymphoma, Large B-Cell, Diffuse/therapy
- Middle Aged
- Neoplasms, Second Primary/diagnosis
- Neoplasms, Second Primary/pathology
- Neoplasms, Second Primary/therapy
- Vaginal Neoplasms/diagnosis
- Vaginal Neoplasms/pathology
- Vaginal Neoplasms/therapy
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Affiliation(s)
- C Hosing
- Division of Cancer Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA
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