title: Small intestinal follicular lymphoma with multiple tumor formations diagnosed by double-balloon enteroscopy.
abstract: Follicular lymphoma of the small intestine remains relatively rare, especially in its early stage. Recently, double-balloon endoscopy has enabled observation of the entire small intestine. We describe a case of follicular lymphoma with multiple lesions in the small intestine detected by double-balloon endoscopy. The patient showed multiple whitish granules in descending portion of the duodenum on screening esophagogastroduodenoscopy, which were subsequently diagnosed as follicular lymphoma by immunohistochemistry. Endoscopic examination of the entire small intestine revealed multiple follicular lymphoma tumors in inferior portion of the duodenum and in the proximal jejunum. Double-balloon endoscopy is useful for evaluating tumor distribution of follicular lymphoma.
authors.affiliation: Department of Gastroenterology, Honjo Daiichi General Hospital, Yurihonjo, Akita.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Higuchi
authors.forename: Koga
authors.initials: K
authors.lastname: Komatsu
authors.forename: Hideki
authors.initials: H
authors.lastname: Wakamatsu
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Kawasaki
authors.forename: Makoto
authors.initials: M
authors.lastname: Murata
authors.forename: Kenichi
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Keisuke
authors.initials: K
authors.lastname: Oikawa
authors.forename: Masanobu
authors.initials: M
authors.lastname: Ohwada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nanjo
authors.forename: Michiro
authors.initials: M
authors.lastname: Otaka
authors.forename: Sumio
authors.initials: S
authors.lastname: Watanabe
authors.forename: Kanji
authors.initials: K
authors.lastname: Komatsu
mesh_terms: D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D004379:Duodenal Neoplasms / Q000175:diagnosis* / Q000473:pathology; D004386:Duodenum / Q000473:pathology; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D008224:Lymphoma, Follicular / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged