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Published on: September 26, 2019
Non-Hodgkin's lymphoma presenting as ulcerative colitis
Lilliam M García Ortiz1, Francisco Jaume Anselmi, José Ramírez Rivera
1La Concepción Hospital, P.O. Box 285, San German, Puerto Rico.
Boletin De La Asociacion Medica De Puerto Rico
|July 18, 2009
Summary
A Burkitt-like lymphoma was misdiagnosed as ulcerative colitis for nine months. This aggressive malignancy requires prompt diagnosis, highlighting the need to suspect other pathologies when symptoms persist.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- High-grade Non-Hodgkin's lymphomas are aggressive hematologic malignancies.
- Differential diagnosis in persistent gastrointestinal symptoms is crucial.
- Ulcerative colitis and lymphoma can present with overlapping symptoms.
Observation:
- A case of Burkitt-like lymphoma initially treated as ulcerative colitis for nine months.
- Patient presented with significant weight loss, diarrhea, and dyspareunia.
- Symptoms persisted despite presumed ulcerative colitis treatment.
Findings:
- The persistent symptoms and rapid mass growth suggested a malignant process.
- Rectal induration indicated a pathology beyond superficial mucosal involvement.
- Histopathological examination confirmed Burkitt-like lymphoma.
Implications:
- Misdiagnosis of aggressive lymphoma can lead to delayed treatment and poorer outcomes.
- Clinical vigilance is essential to differentiate lymphoma from inflammatory bowel disease.
- Early recognition of malignancy signs is critical for effective lymphoma management.
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