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Primary Malignant Lymphoma of Diffusely Infiltrating Form in the Rectum, Report of a Case Shingo Kamitani 1 , Katsuaki Satoh 1 , Yasunori Kusaka 1 , Masahiro Aoyama 1 , Satoshi Ohno 1 1Satoh Hospital pp.1357-1361
Published Date 1988/12/25
DOI https://doi.org/10.11477/mf.1403108886
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 A 61-year-old man was admitted to our hospital with a three-week history of diarrhea and mucohemorrhagic stool. Endoscopic examination revealed multiple ulcer or aphthous lesions in diffusely thickened rugous folds in the rectum. Surrounding mucosa appeared to lack inflammation and translucency of vascular networks. No definitive diagnosis was made by an endoscopic biopsy. The diagnosis of malignant lymphoma, however, was attained by microscopic examination of excisional specimens of the rectum by transanal approach. HistologicaIly, the tumor spreaded mainly in the tela submucosa and partly into the tunica muscularis propria, and thus was diagnosed as diffusely infiltrating form of rectal malignant lymphoma.

 Primary malignant lymphoma of the rectum is a rare disease, and about 60 cases were reported in Japan until 1987.

 The reported cases so far were mostly circumscribed with ulcer or polypoid lesion. The cases of diffusely infiltrating form were much less frequently seen. We reported here a case of rectal malignant lymphoma of diffusely infiltrating form.


Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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