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Metachronous colonic lymphomas complicating chronic ulcerative colitis
D H Hill1, J O Mills, R J Maxwell
1Department of Radiology, Royal Victoria Hospital, Belfast, Northern Ireland.
Abdominal Imaging
|January 1, 1993
Summary
This study reports a rare case of two primary large bowel lymphomas in a patient with chronic ulcerative colitis. This highlights the importance of vigilance for colonic lymphoma in inflammatory bowel disease patients.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- The gastrointestinal tract is a frequent extranodal site for primary non-Hodgkin's lymphoma.
- Colonic lymphomas are a known complication of inflammatory bowel disease (IBD), especially ulcerative colitis.
- Approximately 10-15% of gastrointestinal lymphomas occur in the large bowel.
Observation:
- A unique case involving two metachronous primary lymphomas of the large bowel is presented.
- The patient had a history of chronic ulcerative colitis.
Findings:
- The case demonstrates a rare occurrence of multiple primary colonic lymphomas.
- This presentation is associated with chronic ulcerative colitis, a known risk factor.
Implications:
- This case underscores the need for heightened awareness and surveillance for colonic lymphoma in patients with chronic ulcerative colitis.
- Further research may elucidate the specific mechanisms linking IBD and metachronous colonic lymphomas.