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[Primary malignant lymphoma in the appendix vermiformis]

K F Carstensen¹, E Hoffmann

¹Kirurgisk afdeling, Roskilde Amts Sygehus Køge.

Ugeskrift for Laeger

|August 9, 1993

Summary

This summary is machine-generated.

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This case report details a rare instance of primary gastrointestinal lymphoma (PGL) in a 17-year-old male, diagnosed as Burkitt lymphoma originating in the appendix. Early diagnosis and treatment are crucial for favorable prognosis in appendiceal lymphoma.

Area of Science:

Gastroenterology
Pediatric Oncology
Surgical Pathology

Background:

Primary gastrointestinal lymphoma (PGL) is an uncommon neoplastic condition affecting the digestive tract.
Appendiceal lymphoma, a rare subtype of PGL, typically presents in young males and often exhibits Burkitt-type histology.

Observation:

A 17-year-old male presented with fever and right lower quadrant abdominal pain, initially suspected as a periappendicular abscess.
A palpable abdominal tumor persisted despite antibiotic treatment, necessitating a laparotomy and cecal resection.
Histopathological examination confirmed appendiceal malignant lymphoma, with no evidence of abdominal dissemination.

Findings:

The appendiceal tumor was diagnosed as malignant lymphoma, specifically Burkitt type, consistent with PGL in young males.

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Surgical resection of the affected cecum was performed, followed by adjuvant chemotherapy and radiation therapy.

Prognosis is significantly influenced by the tumor's histological type, clinical staging, and the extent of surgical resection.

Implications:

This case highlights the importance of considering rare diagnoses like appendiceal lymphoma in young patients with persistent abdominal symptoms.
Accurate histological typing, staging, and radical surgical intervention are critical for optimizing outcomes in appendiceal lymphoma.
Further research into the specific characteristics and management of PGL in pediatric and adolescent populations is warranted.