Clinical and therapeutic considerations of rectal lymphoma： A case report and literature review

• Published in: World journal of gastroenterology : WJG Vol. 11; no. 3; pp. 460 - 461
• Main Authors: Bilsel, Yilmaz, Balik, Emre, Yamaner, Sumer, Bugra, Dursun
• Format: Journal Article
• Language: English
• Published: United States 3rd General Surgery Clinic, Haydarpasa Immune Research and Training Center, 34668, Uskudar, Istanbul-Turkey%Department of General Surgery, Istanbul University, Istanbul Medical Faculty, 34093,Capa, Istanbul-Turkey 21.01.2005; Baishideng Publishing Group Co., Limited
• Subjects: Adult; Case Report; Humans; Lymphoma, B-Cell - diagnostic imaging; Lymphoma, B-Cell - drug therapy; Lymphoma, B-Cell - radiotherapy; Lymphoma, Non-Hodgkin - diagnostic imaging; Lymphoma, Non-Hodgkin - drug therapy; Lymphoma, Non-Hodgkin - radiotherapy; Male; Rectal Neoplasms - diagnostic imaging; Rectal Neoplasms - drug therapy; Rectal Neoplasms - radiotherapy; Tomography, X-Ray Computed; Treatment Outcome; 化学疗法; 消化系统; 直肠淋巴瘤; Rectal lymphoma; Involved-field radiotherapy; Systemic chemotherapy
• ISSN: 1007-9327; 2219-2840
• DOI: 10.3748/wjg.v11.i3.460

Primary rectal lymphoma is a rare presentation of gastrointestinal lymphomas.Its clinical presentation is indistinguishable from that of rectal carcinoma.Although surgical resection is often technically feasible,optimal therapy for colorectal lymphoma has not yet been identified.We report a case of primary rectal lymphoma(nonHodgkin's iarge cell lymphoma of type B) with high-grade features that disappeared completely after chemoradiotherapy,This case underlines that primary treatment with systemic chemotherapy and involved-field radiotherapy can be successful for rectal lymphoma,with surgery reserved for complications and chemotherapy failures.