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KMID : 1039420190530050332
Journal of Pathology and Translational Medicine
2019 Volume.53 No. 5 p.332 ~ p.336
Diffuse Involvement of Primary Colorectal Lymphoma Simulating Ulcerative Colitis
Kim Ji-Ye

Chang Sun-Hee
Kim Han-Seong
Joo Mee
Abstract
Diffuse involvement of colorectal lymphoma masquerading as colitis is a very rare presentation of primary colorectal lymphoma. Detecting occult lymphoma is difficult in the setting of diffuse colonic involvement with no definite mass and inflammatory mucosal changes. We encountered a case of diffuse-type primary colorectal lymphoma simulating ulcerative colitis in a previously healthy 31-year-old woman. Despite multiple mucosal biopsies, the biopsy diagnosis was not made due to unawareness of atypical lymphocytes admixed with dense lymphoplasmacytic infiltration. The present case emphasizes the importance of being aware of this rare presentation of primary colorectal lymphoma in order to avoid misdiagnosis.
KEYWORD
Colorectal lymphoma, Primary, Diffuse type, Colitis
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