A Case of non Hodgkin's Lymphoma Appearing as Multiple Lymphomatous Polyposis (MLP)

Abstract

A 70-year-old male patient referred to our department on October 14, 1997, had received a geriatric health screening including upper gastrointestinal (UGI) series of radiography, which poited out his gastroduodenal abnormality, and UGI endoscopy carried out at a nearby clinic thereafter had given a suspicious dignosis of gastric lymphoma.
Our UGI series of radiography and endoscopy revealed swelling folds in the stomach and multiple polypoid lesions in the duodenal bulb. Biopsy specimens were taken from both gastric and duodenal lesions. Barium enema demonstrated a submucosal tumor-like elevation of 50mm in diameter in the caecum, and numerous polypoid lesions in the entire colon and rectum. In these lesions the surfaced was smooth and the elevated component was gently sloped.
Biopsy was also carried out from these colorectal lesions. Histopathologically, B-cell type of lymphoma cells were detected from all the specimens of the stomach, duodenum, and colorectum. The above examinations results assure the diagnosis of non Hodgkin's lymphoma appearing as MLP in this case presented.