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KMID : 0614619950270050581
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Korean Journal of Gastroenterology
1995 Volume.27 No. 5 p.581 ~ p.587
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A Case of Primary Concurrent Malignant Lymphoma of the Entire Small Bowel and Colon
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김영운
강창규/하헌돈/권주원/박승욱/이두용/김종설
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Abstract
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Primary gastrointestinal lymphoma which is primarily confined to gastrointestinal tract without evidence of systemic involvement is a relatively rare disease. Non-Hodgkin's lymphoma has a tendency to involve extranodal areas as its primary site
and
the
gastrointestinal tract is the most commonly involved extranodal site. Many cases of primary gastrointestinal lymphoma have been reported mostly of gastric origin followed by small bowel, ileocecal portion and colon; however, the concurrent
lymphoma
of
colon and small bowel is very rare in reported cases. This article is about a case of 55-year old male who was diagnosed as primary concurrent malignant lymphoma of the entire small bowel and colon. The colonoscopic finding revealed smooth
pink-red
colored multiple polypoid masses and ulcerations in the total colon. We suspected lymphoma by endoscopic punch biopsy, thereafter laparatomy was performed. Multiple subserosal nodules were scattered from Treitz's ligament to rectum, and
mesenteric
lymph
node enlargement was also observed. As a result malignant lymphoma was confirmed pathohistologically. We report this case with a review of the related literature (Korean J Gastroenterol 1995; 27: 581-587)
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