Korean J Gastrointest Endosc.  2007 Oct;35(4):272-276.

A Case of Primary Rectal MALT Lymphoma Presented as Multiple Submucosal Tumors

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yumc.yonsei.ac.kr
  • 2Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Suwon Yonsei Clinic of Internal Medicine, Suwon, Korea.

Abstract

MALT (mucosa-associated lymphoid tissue) lymphomas are the most common primary gastrointestinal (GI) lymphomas. MALT lymphomas of the GI tract tend to occur most commonly in the stomach, followed by the small intestine, ileocecal area, colon and the esophagus. However, MALT lymphomas of the large intestine are rare. Previously, a diagnosis was commonly established by the surgical specimens but endoscopic biopsy specimens are currently used to make a diagnosis. A 61-year-old woman was found to have multiple submucosal tumors of the rectum during a screening colonoscopy. The tumors were removed by a polypectomy. The histology revealed the diffuse infiltration of centrocyte-like cells and a lymphoepithelial lesion. Immunohistochemical staining confirmed the diagnosis of a low grade B cell lymphoma of the MALT type. No other site of involvement was identified on the CT of the chest, abdomen and pelvis.

Keyword

Lymphoma; Mucosa-associated lymphoid tissue; Rectum

MeSH Terms

Abdomen
Biopsy
Colon
Colonoscopy
Diagnosis
Esophagus
Female
Gastrointestinal Tract
Humans
Intestine, Large
Intestine, Small
Lymphoma
Lymphoma, B-Cell
Lymphoma, B-Cell, Marginal Zone*
Mass Screening
Middle Aged
Pelvis
Rectum
Stomach
Thorax
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