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30 医学系研究科 >
3005 北関東医学会 >
330501 The Kitakanto medical journal >
Vol.60 (2010) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10087/5674

Title: Malignant Lymphoma of the Ileum Treated by Laparoscopically Assisted Bowel Resection : A Case Report
Authors: Aiko, Nagayama
Naoyuki, Kobayshi
Junichi, Saito
Tetsuya, Nkamura
Eiji, Kurihara
Toshiaki, Ikeda
Yoshito, Ueyama
Mitsuhiro, Saito
Hitomi, Horikawa
Hidetomo, Muto
Hiroko, Murata
Hitomi, Nakamura
Reina, Tatsumi
Shinji, Takahashi
Keywords: malignant lymphoma
small intestine
laparoscopy
surgery
Issue Date: 1-Nov-2010
Citation: The Kitakanto medical journal. 60(4), 367-370 (2010)
Abstract: Primary malignant lymphoma of the small intestine is uncommon. We herein present a case of malignant lymphoma of the ileum, which was treated by laparoscopically assisted surgery. A 60-yearold male with lower abdominal pain and vomiting was admitted to our hospital. A standing abdominal X-ray showed niveau formation. Computed tomography demonstrated circumferential wall thickening in the terminal ileum. Laparoscopically assisted surgery was performed under a diagnosis of tumor of the ileum. Under laparoscopic exploration, tumor of the ileum was detected. Partial resection of the ileum and dissection of lymph nodes were performed extracorporeally. Histological findings demonstrated diffuse large atypical lymphocytes with vesicle-like chromatin and clear nucleolus. Immunologically, CD20 and CD79a were positive. These findings were compatible with those of diffuse large B-cell lymphoma. Paraintestinal lymph nodes were also involved. The postoperative course was uneventful. Neither gallium scintigraphy nor FDG-PET showed any scintillation. The patient was given R-CHOP therapy and is currently doing well with no sign of recurrence. In conclusion, we propose that laparoscopic surgery for malignant lymphoma of the small intestine is a feasible and promising therapeutic option, especially in a case demonstrating bowel obstruction, because this procedure is thought to be minimally invasive,allows quick postoperative recovery and shortened hospital stay could be expected.
URI: http://hdl.handle.net/10087/5674
ISSN: 1343-2826
Appears in Collections:Vol.60 (2010)

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