Magnifying Endoscopic Observation of Duodenal Involvement of Follicular Lymphoma before and after Chemotherapy

  • Iwamuro Masaya
    Department of Molecular Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan
  • Okada Hiroyuki
    Department of Endoscopy, Okayama University Hospital, Japan
  • Takata Katsuyoshi
    Department of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan
  • Fujii Nobuharu
    Department of Hematology and Oncology, Okayama University Hospital, Japan
  • Kawano Seiji
    Department of Endoscopy, Okayama University Hospital, Japan
  • Kawahara Yoshiro
    Department of Endoscopy, Okayama University Hospital, Japan
  • Yoshino Tadashi
    Department of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan
  • Yamamoto Kazuhide
    Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan

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抄録

A 60-year-old Japanese man was diagnosed with systemic follicular lymphoma with duodenal, jejunal, and ileal involvement. The duodenal lesion showed typical endoscopic features with multiple whitish granules. Chemotherapy with bendamustine and rituximab was administered, and complete remission was confirmed by CT scanning and positron emission tomography scanning. Although the duodenal granular lesions did not completely disappear, magnifying observation for the remaining lesions showed no evidence of residual lymphoma. Complete remission was pathologically confirmed by biopsy examinations. This case suggests the usefulness of magnifying observation in evaluating the effects of treatment for duodenal follicular lymphoma lesions.<br>

収録刊行物

  • Internal Medicine

    Internal Medicine 54 (14), 1741-1745, 2015

    一般社団法人 日本内科学会

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