An unusual case of Turcot's syndrome associated with ileal adenocarcinoma, intestinal non-Hodgkin's lymphoma, and duodenal adenocarcinoma. Review of the classification and genetic basis of Turcot's syndrome.
A 38-year-old man with a history of colonic and small bowel polyposis and glioblastoma was investigated for dyspepsia. Upper GI endoscopy identified an abnormal area in the duodenum, confirmed by histology as high grade non-Hodgkin's B cell MALT lymphoma. Although cases of Turcot's syndrome (TS) (colonic polyposis and primary brain tumour occurring in the same patient) have been previously described, association with haematological malignancy is rare. This is the first report of intestinal lymphoma occurring in an adult with TS.
Murphy
H R
HR
Department of Clinical Genetics, Royal Liverpool Children's Hospital-Alder Hey, Eaton Road, Liverpool, L12 2AP, UK. hmurphy@liv.ac.uk
Taylor
W
W
Ellis
A
A
Sturgess
R
R
D000230:Adenocarcinoma / Q000473:pathology*; D011125:Adenomatous Polyposis Coli / Q000473:pathology*; D000328:Adult; D001932:Brain Neoplasms / Q000473:pathology*; D004379:Duodenal Neoplasms / Q000473:pathology*; D016099:Endoscopy, Gastrointestinal; D005909:Glioblastoma / Q000473:pathology*; D006801:Humans; D007078:Ileal Neoplasms / Q000473:pathology*; D007414:Intestinal Neoplasms / Q000473:pathology*; D018442:Lymphoma, B-Cell, Marginal Zone / Q000473:pathology*; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000473:pathology*; D013577:Syndrome