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Primary colorectal lymphoma - A single centre experience.

R Tevlin¹, J O Larkin¹, J M P Hyland¹

¹Centre for Colorectal Disease, St. Vincent's University Hospital, Dublin 4, Ireland.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland

|April 4, 2014

Summary

This summary is machine-generated.

Primary colorectal lymphoma (PCL) is a rare cancer. This study examined PCL cases, finding diffuse large B-cell lymphoma most common and highlighting the need for multidisciplinary management due to limited treatment data.

Keywords:

Colorectal lymphoma Extra-nodal lymphoma Non-Hodgkin's lymphoma Primary colorectal lymphoma

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Published on: April 18, 2025

Area of Science:

Gastroenterology
Oncology
Hematology

Background:

Primary colorectal lymphoma (PCL) is a rare malignancy, accounting for 0.2-0.6% of large bowel cancers.
Non-Hodgkin's lymphoma (NHL) incidence has risen, with extranodal presentations occurring in up to one-third of cases.

Purpose of the Study:

To review institutional experience with primary colorectal lymphoma.
To analyze clinical characteristics, management, and outcomes of PCL patients.

Main Methods:

Retrospective review of a prospectively maintained colorectal cancer database (1988-2012).
Identification of PCL cases using Dawson's criteria.
Extraction of clinical data from patient case notes.

Main Results:

Eleven cases of PCL were identified (0.3% of 4219 colorectal malignancies).
The median age at diagnosis was 63 years, with the cecum being the most common site.
Diffuse large B-cell lymphoma was the predominant subtype; median event-free survival with surgery and chemotherapy was 10 months.

Conclusions:

Primary colorectal lymphoma is a rare entity requiring a multidisciplinary approach.
Management strategies are influenced by lymphoma subtype.
The rarity of PCL limits randomized controlled trials, necessitating reliance on case reports for treatment guidance.