Lymphoma of the colon: The spectrum of radiologic changes

Abstract

Abstract. Primary lymphoma of the colon is rare and comprises less than 1% of large bowel malignancies. Secondary colonic involvement in patients with advanced lymphoma is not uncommon and is frequently undetected. The radiographic findings of 34 patients with colonic lymphoma were reviewed. Thirteen patients had primary tumors, while the remaining 21 had colonic involvement secondary to systemic disease. The radiologic features were classified as mucosal nodularity, endo-exoenteric mass, intraluminal mass, mural infiltration, and mesenteric invasion. One patient with diffuse mucosal nodularity developed acute colonic dilatation, while two other patients had pneumatosis colt secondary to local tumor depositions. Lymphoma is now a well-described complication of chronic ulcerative colitis, and a further case is described here. Although colonic lymphoma is a relatively rare tumor, the spectrum of radiologic changes reviewed here may enable a more accurate radiologic diagnosis.

Splenic Flexure Diffuse Large B Cell Lymphoma With Bowel Obstruction: A Radio Pathological Correlation

“…Furthermore for Bcell lymphomas, fungating mass is the most common endoscopic type (54.0%) [8] . The radiologic changes may be similar to those found in Crohn's disease, amoebiasis or pseudomembranous colitis [9] ; they can be divided into five groups: mucosal nodularity, endo-exoenteric mass, intraluminal mass, mural infiltration and mesenteric invasion [10] .…”

Non-Hodgkin's Lymphoma of the Ascending Colon in a Patient with Becker Muscular Dystrophy: Report of a Case

“…Primary lymphomatous involvement of the colon and rectum is unusual and comprises less than 1% of all large-bowel malignancies. 6 Overall, lymphoma is localized to the gastrointestinal tract in only 10% of the patients with non-Hodgkin's lymphoma; primary lymphoma of the colon accounts for from 8% to 23% of all gastrointestinal tract cases. 3,4 So far, there have been very few reported cases of colonic lymphoma in pediatric patients.…”

Primary lymphoma of the colon and rectum: CT and barium enema correlation

“…Adapting the system described by O'Connell and Thompson [6], the lesions were described as masses with either an endoexoenteric or intraluminal configuration, as mucosal nodularity, or as mural infiltra~ tion manifest by luminal narrowing and serosal tethering.…”

“…Previous studies have characterized the appearance of gastrointestinal lymphoma on barium enema (BE) examination, although most predate the era of routine computed tomographic (CT) evaluation of the patient with suspected abdominal pathology [6][7][8][9]. CT has increasingly become the mainstay of evaluation of the patient with gastrointestinal lymphoma, for it details both mural and extramural components of the disease, and thus allows for accuCorrespondence to: S.H.…”