[A case of multiple intestinal lymphomas accompanied by rapid growth of cutaneous infiltration after surgery].
We report a case of multiple intestinal lymphomas accompanied by rapid growth of cutaneous infiltration after surgery. An 86-year-old woman visited our hospital complaining of lower abdominal pain. Multiple tumors in the sigmoidal and ascending colon were detected by using colonoscopy and computed tomography; therefore, we performed surgery. Postoperative pathological examination identified the sigmoidal colon tumor as an adenocarcinoma and the ascending colon tumor as a B cell lymphoma. The tumors in the ileum and the ileal diverticulum, which were simultaneously excised, were also diagnosed as B-cell lymphomas. After surgery, rapid appearance of multiple light purple nodules on the skin of the right thigh was observed. Histological examination of biopsied skin nodules led to a diagnosis of B-cell lymphoma, similar to the previously removed tumors. Although radiotherapy and chemotherapy were administered to the dermatological lesion that reached an advanced stage, the disease condition was progressive. The patient was transferred to another hospital to receive medical treatment 3 months postoperatively. We consider these dermatological lesions to be dermal infiltration of B-cell lymphomas originating from tumors in the intestinal tract.
Dept. of Surgery, Ube Industries, Ltd. Central Hospital.
Sakurao
S
Hiraki
Taichi
T
Kuwahara
Toshio
T
Harada
Toru
T
Kawaoka
Shintaro
S
Fukuda
Shinobu
S
Imoto
D000230:Adenocarcinoma / Q000601:surgery; D000369:Aged, 80 and over; D044682:Colon, Ascending / Q000473:pathology* / Q000601:surgery; D012809:Colon, Sigmoid / Q000473:pathology*; D003110:Colonic Neoplasms / Q000473:pathology* / Q000601:surgery; D018450:Disease Progression; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000601:surgery; D009361:Neoplasm Invasiveness; D009378:Neoplasms, Multiple Primary / Q000601:surgery