Abstract
A 40-year-old woman was admitted to our hospital with a chief complaint of large amount of hematochezia. Colonofiberscopy showed an ulcerative lesion in the terminal ileum. A diagnosis of primary malignant lymphoma was made from the histology of the biopsied specimen. Ileum including a part of large intestine was removed surgically. A diagnosis of diffuse, mixed-sized T-cell malignant lymphoma was comfirmed from the positive findings to immunochemical stain with UCHL-1. After the operation, chemotherapy with VEPA was carried out, but one year later, the tumor was recurred both in tonsil and residual ileum. The tumor in the residual ileum was resected and chemotherapy with CHOP was carried out following the surgical procedure. However, the tumor was noted in the colon a half year later. Although salvage chemotherapy was carried out, she expired three years later from her first visit to our hospital.
