CASE REPORT : A CASE OF MALIGNANT LYMPHOMA OF THE JEJUNUM DIAGNOSED PREOPERATIVELY BY ENDOSCOPIC AND BIOPSIED EXAMINATIONS

Abstract

In spite of the development of both x-ray and endoscopic examinations a few cases of malignant tumor of the small intestine have been reported. We experienced one case of malignant lymphoma which located in approximately 15 cm distal from Treitz ligament. Patient was 59-year-old housewife and admitted to our hospital with a chief complaint of intermittent pain in the left hypochondrium. Diagnosis of malignant lymphoma was made preoperatively by small intestinal biopsy under direct vision. Resected specimen by operation revealed low-graded protruded tumor with size of 3.5×5 cm. Surface of the tumor was somewhat irregular, in part of which linear ulceration was observed. Diagnosis of malignant lymphoma was confirmed by histologic examination. Discussions were also made on the endoscopic findings of 10 cases of malignant tumor of the small intestine descrided precisely.