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Non-Hodgkin's Lymphoma of the Colon (9 of 16)
Case description
Intestinal lymphomas differ from gastric lymphomas not
only in pathology, but also in their clinical features,
treatment, and prognosis. The gross appearance of the
tumor may be annular or just a thickened bowel wall. The
majority of the colon lymphomas are single (86%), can be
multiple or diffuse in nature. The term, "primary intestinal
lymphoma" includes some particular entities: The western
type, immunoproliperative small intestinal disease (IPSID
or Mediterranean lymphoma), the enteropathy- associated
T-cell lymphoma, and the childhood type. The western type
is an uncommon malignancy with a challenging differential
diagnosis and an urgent need for therapy. In Western
countries, almost all primary colorectal lymphomas are
of B-cell lineage whereas they tend to be of T-cell lineage
in the East. B-cell lymphomas are more common in older
people than are T-cell lymphomas.
only in pathology, but also in their clinical features,
treatment, and prognosis. The gross appearance of the
tumor may be annular or just a thickened bowel wall. The
majority of the colon lymphomas are single (86%), can be
multiple or diffuse in nature. The term, "primary intestinal
lymphoma" includes some particular entities: The western
type, immunoproliperative small intestinal disease (IPSID
or Mediterranean lymphoma), the enteropathy- associated
T-cell lymphoma, and the childhood type. The western type
is an uncommon malignancy with a challenging differential
diagnosis and an urgent need for therapy. In Western
countries, almost all primary colorectal lymphomas are
of B-cell lineage whereas they tend to be of T-cell lineage
in the East. B-cell lymphomas are more common in older
people than are T-cell lymphomas.
