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Published on: April 26, 2019
Hodgkin's disease involving the large bowel
1Departments of Oncology, Medicine, and Pathology, Montefiore Medical Center/Albert Einstein College of Medicine, 111 E 210 St., Bronx, NY 10467, USA.
Insights
This study reports a rare case of Hodgkin's disease (HD) found within a colorectal polyp in a patient with relapsed disease. It highlights a unique presentation of gastrointestinal HD.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Hodgkin's disease (HD) is a lymphoid malignancy.
- Gastrointestinal involvement in HD is uncommon.
- Colorectal polyps are common findings during endoscopic procedures.
Observation:
- A patient with disseminated, relapsed Hodgkin's disease presented with a colorectal polyp.
- Histopathological examination of the polyp revealed Hodgkin's disease infiltration.
Findings:
- This is the first reported case of colonic Hodgkin's disease presenting as a colorectal polyp.
- The findings expand the known spectrum of gastrointestinal manifestations of HD.
Implications:
- This case underscores the importance of thorough histopathological evaluation of colorectal polyps, even in patients with known malignancies.
- It may prompt consideration of HD in the differential diagnosis of colorectal polyps in specific clinical contexts.
- Further research into the mechanisms and clinical significance of HD in the colon is warranted.
Abstract:
Hodgkin's disease (HD) is a malignancy that rarely affects the gastrointestinal tract. We describe a patient with disseminated, relapsed HD, in whom HD was found in a colorectal polyp. We also review the literature regarding HD involving the colon. To our knowledge, this is the first reported case of colonic HD presenting as a polyp.
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