Multifocal colorectal non-Hodgkin's lymphoma in a patient with ulcerative colitis: A case report
Author(s) -
Ashish Kumar,
Sagar Walinjkar,
Praveen Sharma,
Pallav Gupta,
Naresh Bansal,
Vikas Singla,
ShrihariA Anikhindi,
Anil Arora
Publication year - 2021
Publication title -
indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/ijpm.ijpm_654_19
Subject(s) - medicine , hematochezia , ulcerative colitis , lymphoma , ascending colon , rectum , colonoscopy , gastroenterology , biopsy , colitis , pathology , colorectal cancer , cancer , disease
A case of multifocal non-Hodgkin's (Diffuse large B cell type) lymphoma of colon in a patient with ulcerative colitis is described. The patient was a 69-year old male treated with azathioprine and methotrexate for ulcerative colitis for 2 years. He was admitted with loose stools and hematochezia. Colonoscopy revealed two deep ulcers in ascending colon and a large ulcer in rectum. Biopsy from both the sites revealed atypical large lymphoid cells, which were CD20 positive. A whole body PET-CT scan showed disease localized to colon with bone marrow examination showing no evidence of lymphoma. The patient was given chemotherapy cycles and recovered well.
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