A clinical case report of primary ileum lymphoma
DOI:
https://doi.org/10.11603/2414-4533.2023.3.14158Keywords:
extranodal lymphoma, primary non-Hodgkin’s small intestinal lymphoma; diffuse large B-cell lymphoma, nodular lymphoid hyperplasia, R-CHOP-chemotherapyAbstract
The aim of the work: demonstration of a clinical case of primary lymphoma of the ileum.
Primary small bowel lymphoma is a rare disease, which in most cases is diagnosed at the stage of development of complications, such as obstruction and bleeding. Despite progress in the diagnosis and treatment of extranodal lymphoproliferative diseases, primary small bowel lymphoma remains an understudied pathology, which complicates differential diagnosis from other benign and malignant intestinal diseases. In addition, the optimal treatment is still controversial. In general, primary malignant tumors of the small bowel are very rare and account for less than 2 % of all malignant diseases of the gastrointestinal tract. Among malignant tumors of the small bowel, lymphomas are diagnosed in 15–20 %. The most common site for lymphoma is the ileum (60–65 %), the jejunum (20–25 %), the duodenum (6–8 %) and other sites (8–9 %) less frequently. Nodular lymphoid hyperplasia is a rare disease that is a risk factor for intestinal lymphoma and requires careful monitoring. The complexity of this case is that the clinical picture and radiological presentation of primary lymphoma of the small intestine do not have specific signs. The article presents a description of the literature and a case of diffuse B-cell lymphoma of the ileum on the background of nodular lymphoid hyperplasia in a 68-year-old female patient, complicated by intestinal obstruction, the stage of diagnosis and treatment is described.
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