title: Primary intestinal diffuse large B-cell lymphoma forming multiple lymphomatous polyposis.
abstract: Multifocal and skip involvement is quite a rare developmental pattern for primary gastrointestinal lymphomas. A 25-year-old male patient with diffuse large B-cell lymphoma of the small intestine, with macroscopic features and clinical aspects imitating Crohn's disease and attracting attention with cobblestone-like appearance, is presented herein together with the clinical and pathological features.Multiple ulcerated lesions were also observed infiltrating the serosa with polypoid appearance, 2.5 cm in largest diameter, within the resected jejunoileal specimen, which displayed patchy, healthy-appearing mucosal areas. In microscopic examination, a tumoral infiltration was observed comprised of pleomorphic, atypical lymphoid cells with abundant eosinophilic cytoplasm, marked nucleoli and vesicular nuclei. A B-cell phenotype immunoreaction was observed by vimentin, LCA, CD20, and CD79a in those atypical cells. The diagnosis of the case was diffuse large B-cell lymphoma.The possibility of the presence of this disorder, although rare, is emphasized here for patients applying to the hospital with the signs and symptoms of Crohn's disease.
authors.affiliation: Department of Pathology, Faculty of Medicine, Zonguldak Karaelmas University, Zonguldak, Turkey. figenbarut@yahoo.com
authors.forename: Figen
authors.initials: F
authors.lastname: Barut
authors.forename: Nilüfer Onak
authors.initials: NO
authors.lastname: Kandemır
authors.forename: Kemal
authors.initials: K
authors.lastname: Karakaya
authors.forename: Neslihan
authors.initials: N
authors.lastname: Kökten
authors.forename: Sükru Oğuz
authors.initials: SO
authors.lastname: Ozdamar
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007417:Intestinal Polyps / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008207:Lymphatic Metastasis; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D008297:Male