[Lymphomatous polyposis of the digestive tract]

A case of multiple lymphomatous polyposis of the gastrointestinal tract is presented. The recent literature on this type of lymphoma is reviewed. Also summarized are the clinical findings, diagnostic procedures, current methods of treatment and prognosis of these patients. Diarrhea upon admission, lead us to a complete work up finally to the correct diagnosis. The lack of symptoms of this patient was in contrast with most of the cases reviewed, so the diagnosis was mainly based on the endoscopic findings (colonoscopy and esofago-gastro-duodenoscopy). It is emphasized the importance of repeated biopsies in case of negative ones, as it occurs in this patient, in which an endoscopic "polypectomy" from the recto-sigmoid area, provided enough material to the pathologist, for the diagnosis, after several "non-diagnostic" biopsies taken previously. Finally the therapy for this entity is updated, with special reference to quemotherapy and a list of drugs combination is given.