Laparoscopic colectomy for primary colonic lymphoma.
Primary colorectal lymphoma is an infrequent disease of unknown origin and with a growing incidence. Differentiation be-tween primary lymphoma and secondary colorectal involvement is of great therapeutic and prognostic importance. The diagnosis must always be based on histological findings. Different forms of presentation have been described, though all are nonspecific. While full agreement on the best management approach for colorectal lymphoma is lacking, surgical resection is usually the treatment of choice. The role of chemotherapy has not been defined. This study reports on a case of primary lymphoma in the cecum, with clinical manifestations in the form of meteorism and early satiety. The diagnosis was established by colonoscopy and biopsy. The absence of lymph-node involvement, tumor size, existing cardiopulmonary risk factors, and the fact that a full resection of the malignancy proved possible, with tumor-free resection margins, led us to exclude adjuvant chemotherapy. After one year of follow-up the patient remains disease-free.
Martínez-Ramos
D
D
Department of General and Digestive Surgery, General Hospital, Castellón, Spain. davidmartinez@comcas.es
Gibert-Gerez
J
J
Miralles-Tena
J M
JM
Martínez-Banaclocha
M
M
Escrig-Sos
J
J
Salvador-Sanchís
J L
JL
D000368:Aged; D002430:Cecal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D003082:Colectomy; D006801:Humans; D010535:Laparoscopy; D008223:Lymphoma / Q000175:diagnosis / Q000601:surgery*; D008297:Male