Ileocolonic lymphomas: a series of 16 cases.
BACKGROUND
Colonoscopic and clinical differences between primary ileocolonic mucosa-associated lymphoid tissue (MALT) lymphoma and mantle cell lymphoma (MCL) have not been defined.


METHODS
We reviewed colonoscopic and clinical features in eight patients with primary MALT lymphoma and eight patients with MCL in the terminal ileum and/or colorectum. All cases were examined for CD5 and/or cyclin D1 expression.


RESULTS
Endoscopic features of MALT lymphoma were characterized as protrusions that were covered with normal-appearing mucosa with or without ulceration. The gross appearances of MALT lymphomas were categorized as solitary (4 patients), multiple (3 patients), and multiple lymphomatous polyposis (MLP) (1 patient). The gross features of MCL at endoscopy were categorized as multiple protrusions (2 patients), and MLP (6 patients). The clinical stages of patients with MCL were more advanced than in patients with MALT lymphoma.


CONCLUSIONS
Solitary or multiple protrusions at an early clinical stage is the most common presentation pattern of patients with MALT lymphoma, but an MLP appearance at an early stage is also possible. On the other hand, MLP appearance with an advanced clinical stage is the main presentation pattern in patients with MCL, although multiple protrusions with an early clinical stage is also possible. Histological and immunohistochemical investigation including that of cyclin D1 and CD5 expression is essential to make the final diagnosis.
Saito
T
T
Second Department of Internal Medicine, Mie University School of Medicine, Tsu, Japan.
Toyoda
H
H
Yamaguchi
M
M
Nakamura
T
T
Nakamura
S
S
Mukai
K
K
Fuke
H
H
Wakita
Y
Y
Iwata
M
M
Adachi
Y
Y
Shiku
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015703:Antigens, CD / Q000378:metabolism; D003110:Colonic Neoplasms / Q000378:metabolism / Q000401:mortality / Q000473:pathology*; D003113:Colonoscopy; D019938:Cyclin D1 / Q000378:metabolism; D005260:Female; D006801:Humans; D007078:Ileal Neoplasms / Q000378:metabolism / Q000401:mortality / Q000473:pathology*; D007080:Ileocecal Valve; D018442:Lymphoma, B-Cell, Marginal Zone / Q000378:metabolism / Q000401:mortality / Q000473:pathology*; D020522:Lymphoma, Mantle-Cell / Q000378:metabolism / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate
D015703:Antigens, CD; D019938:Cyclin D1