Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Oct 15, 2024; 16(10): 4281-4288
Published online Oct 15, 2024. doi: 10.4251/wjgo.v16.i10.4281
Transformed gastric mucosa-associated lymphoid tissue lymphoma originating in the colon and developing metachronously after Helicobacter pylori eradication: A case report
Makoto Saito, Zen-Ichi Tanei, Masumi Tsuda, Toma Suzuki, Emi Yokoyama, Minoru Kanaya, Koh Izumiyama, Akio Mori, Masanobu Morioka, Takeshi Kondo
Makoto Saito, Toma Suzuki, Emi Yokoyama, Minoru Kanaya, Koh Izumiyama, Akio Mori, Masanobu Morioka, Takeshi Kondo, Blood Disorders Center, Aiiku Hospital, Sapporo 064-0804, Hokkaido, Japan
Zen-Ichi Tanei, Masumi Tsuda, Department of Cancer Pathology, Faculty of Medicine, Hokkaido University, Sapporo 060-8638, Hokkaido, Japan
Author contributions: Saito M designed this study and wrote the manuscript; Tanei ZI and Tsuda M involved in pathological procedure and technical support for molecular medicine in this study; All authors made substantial contributions to acquisition of data, or analysis and interpretation of data; took part in drafting the article; and agree to be accountable for all aspects of the work.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Makoto Saito, MD, PhD, Chief Doctor, Blood Disorders Center, Aiiku Hospital, Chuo-ku Minami 4 Nishi 25, Sapporo 064-0804, Hokkaido, Japan. ikyoku@aiiku-hp.or.jp
Received: June 10, 2024
Revised: August 18, 2024
Accepted: August 27, 2024
Published online: October 15, 2024
Processing time: 108 Days and 7.6 Hours
Core Tip

Core Tip: Helicobacter pylori (H. pylori) eradication treatment is expected to be effective for treating mucosa-associated lymphoid tissue (MALT) lymphoma originating not only from the stomach but also from the colon. However, t (11;18) (q21;q21)/API2-MALT1 translocation is difficult to achieve a response to H. pylori eradication treatment for primary gastric MALT lymphoma. In this study, H. pylori eradication treatment performed for chronic atrophic gastritis was not only ineffective against initial colonic MALT lymphoma but also failed to prevent the subsequent development of gastric MALT lymphoma and further transformed diffuse large B-cell lymphoma. Because this lesion had a MALT1 translocation with trisomy 18q21, it was thought that the disease developed independently of H. pylori infection and progressed.