A case of Hodgkin's disease of the colon

Abstract

A 79-year-old man was suffered from right upper abdominal pain and fever. Abdominal ultrasonogram showed multiple hypoechoic masses of the liver. Colonoscopic examination revealed one-half circumferential Type 2 like tumor in the ascending colon. Abdominal CT showed multiple low density nodules in the liver. A biopsy taken from the tumor of the ascending colon was histologically diagnosed as malignant lymphoma or poorly differentiated adenocarcinoma (cytokeratin, positive) . A right hemicolectomy was performed. The ulcerative tumor of the ascending colon was 8×7cm in size. The diagnosis histologically made was Hodgkin's disease of the ascending colon, mixed cellularity, infiltrating the subserosa. The Ann Arbor stage is IV B. Seven courses of ABVD therapy were performed. After the treatment, the liver tumors disappeared at all.