Korean J Gastrointest Endosc.  2006 Nov;33(5):285-288.

A Case of Primary Follicular Lymphoma Arising in the Rectum

Affiliations
  • 1Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea. kumcge@chol.com
  • 2Department of Pathology, Korea University College of Medicine, Seoul, Korea.

Abstract

Follicular lymphoma (FL) is one of the most common non-Hodgkin's lymphomas in the United States, but it is relatively rare in Asia. FL typically arises in lymph nodes together with spleen, liver, and bone marrow involvement. So, primary extra-nodal FL without peripheral nodal involvement is rare. Histologically, it shows nodular aggregates of lymphoma cells and positivity for CD 10, CD 20 and bcl-2. Not only the stage, but also the grade is associated with the survival rate. Grade 3 FL presents a worse prognosis than does grade 1 and 2 FL and this should be treated with an anthracycline based CHOP regimen. We report here on a case of primary follicular lymphoma arising in the rectum; this was observed in a 58-year-old woman who complained of anorexia, dyspepsia and diarrhea.

Keyword

Follicular lymphoma; Non-Hodgkin's lymphoma; Gastrointestinal lymphoma; Rectum

MeSH Terms

Anorexia
Asia
Bone Marrow
Diarrhea
Dyspepsia
Female
Humans
Liver
Lymph Nodes
Lymphoma
Lymphoma, Follicular*
Lymphoma, Non-Hodgkin
Middle Aged
Prognosis
Rectum*
Spleen
Survival Rate
United States
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