A Case of Preoperatively Diagnosed Primary T-cell Malignant Lymphoma of the Ileum with Coloenteric Fistula

Sei-ichiro Jimi, Masayuki Hotokezaka, Shinji Matsumoto, Kei Fujii, Keisuke Shibata^*, Akihide Tanimoto^** and Shigeaki Takeda

Department of Surgery, Department of Internal Medicine^*, National Kokura Hospital
Second Department of Pathology, University of Occupational and Environmental Health^**

We report a case of primary T-cell malignant lymphoma of the ileum diagnosed preoperatively. A 64-year-old man hospitalized for right lower quadrant pain and constipation demonstrated ulceration of the ileum on colonoscopy. Immunohistochemical staining of biopsy specimens showed the presence of T-cell malignant lymphoma. Radiographic studies of the small intestine elucidated fistula formation between the ileum and ascending colon. The huge ulceration and coloenteric fistula of the ileocecal region necessitated right hemicolectomy. T-cell malignant lymphoma is rare, and its prognosis is much poorer than that of B-cell lymphoma. We performed 4 courses of CHOP as adjuvant chemotherapy. The patients remains alive 2 years and 8 months postoperatively.

Key words
T cell lymphoma, small intestinal tumor, coloenteric fistula

Reprint requests
Sei-ichiro Jimi Department of Surgery, National Kokura Hospital 10-1 Harugaoka, Kokura Minami-ku, Kitakyushu city, 802-8533 JAPAN

Accepted
December 18, 2002

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