Primary Follicular Lymphoma of the Duodenum with Erosions as Atypical Macroscopic Features
Author(s) -
Keiko Takeuchi,
Masaya Iwamuro,
Atsushi Imagawa,
Yoshitsugu Kubota,
Katsuya Miyatani,
Katsuyoshi Takata,
Hiroyuki Okada
Publication year - 2012
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2012/582607
Subject(s) - medicine , biopsy , lymphoma , pathology , duodenum , infiltration (hvac) , follicular lymphoma , malt lymphoma , gastroenterology , physics , thermodynamics
A 52-year-old Japanese woman who was eventually diagnosed with primary follicular lymphoma of the duodenum showed atypical endoscopic features, namely, erosions with peripheral whitish edematous mucosa. Initial biopsy specimens taken from the erosions revealed insufficient numbers of lymphoma cells for histological diagnosis. Subsequent biopsy specimens from the peripheral mucosa containing the whitish enlarged villi showed infiltration of the lymphoma cells forming lymphoid follicles, which led us to the appropriate diagnosis. This case indicates that endoscopists should take biopsy samples from the peripheral mucosa with whitish enlarged villi rather than erosions in the rare instances that erosions appear as the main macroscopic feature of intestinal follicular lymphoma.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom