Primary appendiceal lymphoma presenting as suspected perforated acute appendicitis: clinical, sonography and CT findings with pathologic correlation.
The gastrointestinal tract is the most common site for extranodal involvement by non-Hodgkin's lymphoma. However, primary appendiceal lymphomas presenting as perforated acute appendicitis are very rare: they occur in only 0.015% of all gastrointestinal lymphoma cases. The management of this condition is still controversial, and a multimodality approach (e.g., surgery, radiation therapy, and chemotherapy) is the optimal treatment. In these cases, appendiceal non-Hodgkin's lymphomas typically manifest with acute symptoms in patients with no prior lymphoma history. Additionally, we treated our patient with a right hemicolectomy and postoperative multiagent chemotherapy.
Department of General Surgery, Renhe Hospital Baoshan District, Shanghai 200431, China.
Jingjing
J
Guo
Department of General Surgery, Renhe Hospital Baoshan District, Shanghai 200431, China ; Department of General Surgery, Huashan Hospital, Fudan University Shanghai 200040, China.
Gang
G
Wu
Department of General Surgery, Renhe Hospital Baoshan District, Shanghai 200431, China.
Xiaojun
X
Chen
Department of General Surgery, Renhe Hospital Baoshan District, Shanghai 200431, China.
Xiaodong
X
Li
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001062:Appendectomy; D001063:Appendiceal Neoplasms / Q000737:chemistry / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001064:Appendicitis / Q000175:diagnosis*; D014408:Biomarkers, Tumor / Q000032:analysis; D001706:Biopsy; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008197:Lymph Node Excision; D016403:Lymphoma, Large B-Cell, Diffuse / Q000737:chemistry / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness; D011237:Predictive Value of Tests; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
D014408:Biomarkers, Tumor
Appendix; lymphoma; non-Hodgkin