Multiple Primary T-cell Lymphoma of the Colon and Ileum -Report of a Case-

Shizuhiro Hirata, Hideki Kishikawa, Kazumitsu Nagafuchi, Toru Yamasaki, Hirotoshi Yonemasu*

Department of Surgery, Wakamatsu City Hospital
*Second Department of Pathology, Kyushu University Faculty of Medicine

We report a case of multiple T-cell malignant lymphoma of the colon, and discuss this case in relation to the literature. An 89-year-old male was hospitalized with complaint of diarrhea. Barium enema and colonoscopy showed multiple ulcers of the rectum and sigmoid colon. Immunohistochemical stainings of biopsy specimens revealed T-cell malignant lymphoma. Emergency operation was performed because of perforation of the sigmoid tumor. Resected specimen contained multiple ulcers of the colon and ileum. After the operation, the patient suffered from intractable, bloody and watery diarrhea. Anemia and hypoproteinemia could not be controlled and he died 71 days later. We speculate that remnant tumor might have existed. T-cell lymphoma of the colon is very rare, and only 16 cases have been reported in Japan. Its prognosis is much worse than that of of B-cell origin.

Key words
T-cell malignant lymphoma, colon, mutiple

Reprint requests
Shizuhiro Hirata Department of Surgery, Wakamatsu City Hospital
1-8-3 Hakusan, Wakamatsu-ku, Kitakyusyu 808-0035 JAPAN

Accepted
March 11, 1998

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