ACTA FAC MED NAISS 2008; 25 (4): 201-204

Case report

PRIMARY COLONIC LYMPHOMA IN A 17-YEAR- OLD PATIENT 

Goran Stanojevic¹
Dragojlo Gmijovic¹,
Milan Jovanovic¹
Miroslav Stojanovic¹,
Vuka Katic²
Branko Brankovic¹,
Milica Nestorovic<sup>1


1</sup>Surgical Clinic, Clinical Center Nis
²Institute of Pathology, Clinical Center Nis

  SUMMARY

Lymphoma of the colon is a rare tumor accounting for 10-20% of gastrointestinal lymphomas, i.e. 0.2-0.6% of all large bowel malignant tumors.
We herein present the case of a young male patient, 17 years of age, admitted for surgery of palpable lymphoma of the cecoascendent portion of the colon 8-10 cm in size, detected during clinical examination and colonoscopy with biopsy. Right hemicolectomy was performed with regional lymphadenectomy. Histopathologic finding confirmed our preoperative diagnosis with more precise identification – precursor B lymphoblastic lymphoma. Postoperative course was regular and the patient was dismissed on the 10th postoperative day. Adjuvant therapy was recommended by the Oncology Council. The patient was followed up for three months during the first two years and then in six-month intervals up to the fifth postoperative year.
All findings were within normal limits, without relapses. In palpable colonic tumors with evident regional lymphadenopathy, lymphoma should also be considered, especially in younger patients, and the risk groups with inflammatory bowel diseases and immunosuppressive conditions. Timely diagnosis and precise disease staging are the necessary prerequisites for high quality multimodal therapy which could cure the disease.