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Published on: August 24, 2019
Primary appendiceal lymphoma presenting as suspected perforated acute appendicitis: clinical, sonography and CT
Jingjing Guo1, Gang Wu2, Xiaojun Chen1
1Department of General Surgery, Renhe Hospital Baoshan District, Shanghai 200431, China.
Abstract:
The gastrointestinal tract is the most common site for extranodal involvement by non-Hodgkin's lymphoma. However, primary appendiceal lymphomas presenting as perforated acute appendicitis are very rare: they occur in only 0.015% of all gastrointestinal lymphoma cases. The management of this condition is still controversial, and a multimodality approach (e.g., surgery, radiation therapy, and chemotherapy) is the optimal treatment. In these cases, appendiceal non-Hodgkin's lymphomas typically manifest with acute symptoms in patients with no prior lymphoma history. Additionally, we treated our patient with a right hemicolectomy and postoperative multiagent chemotherapy.
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