Copyright
©2005 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jan 21, 2005; 11(3): 460-461
Published online Jan 21, 2005. doi: 10.3748/wjg.v11.i3.460
Published online Jan 21, 2005. doi: 10.3748/wjg.v11.i3.460
Clinical and therapeutic considerations of rectal lymphoma: A case report and literature review
Yilmaz Bilsel, 3rd General Surgery Clinic, Haydarpasa Immune Research and Training Center, 34668, Uskudar, Istanbul-Turkey
Emre Balik, Sumer Yamaner, Dursun Bugra, Department of General Surgery, Istanbul University, Istanbul Medical Faculty, 34093, Capa, Istanbul-Turkey
Author contributions: All authors contributed equally to the work.
Correspondence to: Yilmaz Bilsel, Acibadem cad. No:128/9, Bilsel apt., Acibadem, 34178, Kadikoy, Istanbul-Turkey. tbilsel@superonline.com
Telephone: +90-216-3396791 Fax: +90-212-5132181
Received: April 28, 2004
Revised: May 2, 2004
Accepted: June 25, 2004
Published online: January 21, 2005
Revised: May 2, 2004
Accepted: June 25, 2004
Published online: January 21, 2005
Abstract
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 (non-Hodgkin’s large cell lymphoma of type B) with high-grade features that disappeared completely after chemo-radiotherapy. 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.