A CASE OF PRIMARY T-CELL MALIGNANT LYMPHOMA OF THE CECUM

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  • 盲腸原発T細胞性悪性リンパ腫の1例

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Abstract

A 69-year-old man was admitted to our hospital complaining of a right inguinal swelling. Inguinal hernia repair was performed, when ascites was noted. Postoperative abdominal CT showed a retroperitoneal mass containing gas, and a barium enema revealed perforation of the cecum. Under the diagnosis of abscess around the cecum, a right hemicolectomy was performed. Histopathological examination showed small atypical lymphocytes invading the muscularis propria. Immunohistochemical examination revealed that the lymphocytes were positive for anti-CD3, indicating a malignant T-cell lymphoma (diffuse small type). To our knowledge, 19 cases of T-cell lymphoma of the colon and rectum have been reported in the English and Japanese literature.

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