LETTER TO THE EDITOR Rectal follicular lymphoma

نویسندگان

  • F. Castro-Poças
  • A. Duarte
  • M. Mascarenhas-Saraiva
چکیده

Dear Editor: Colonoscopy was performed to a 65-year-old female with tenesmus that showed, in the distal rectum, a bulging lesion of 3 cm covered with normal appearance mucosa. We performed an endoscopic ultrasonography (EUS) that showed a polypoid morphology lesion, heterogeneous, mainly hypoechoic, located in the deep mucosa and submucosa layers; the lesion was well delimited with regular borders and occupied one third of the rectum circumference. There was no sure diagnosis, being most likely a fibrolipoma, a granular cell tumor, a neuroendocrine tumor, or a fibrovascular polyp. It was proposed to the patient to perform a transanal resection or an EUS with fine needle aspiration. She accepted the transanal resection. She had history of a nodal non-Hodgkin lymphoma treated 3 years before with rituximab, cyclophosphamide, vincristine, and prednisolone and a surgical treatment of urogenital prolapse 1 year before using a plastic prosthesis. The histopathologic examination revealed a rectal follicular lymphoma, grade one. The staging procedures showed no other site of disease. Discussion

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تاریخ انتشار 2015