Year 2005 / Volume 97 / Number 10
Notas
Laparoscopic colectomy for primary colonic lymphoma

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D. Martínez-Ramos, J. Gibert-Gerez, J. M. Miralles-Tena, M. Martínez-Banaclocha, J. Escrig-Sos and J. L. Salvador-Sanchís

Abstract
Primary colorectal lymphoma is an infrequent disease of unknown
origin and with a growing incidence. Differentiation between
primary lymphoma and secondary colorectal involvement is
of great therapeutic and prognostic importance. The diagnosis
must always be based on histological findings. Different forms of
presentation have been described, though all are nonspecific.
While full agreement on the best management approach for colorectal
lymphoma is lacking, surgical resection is usually the treatment
of choice. The role of chemotherapy has not been defined.
This study reports on a case of primary lymphoma in the cecum,
with clinical manifestations in the form of meteorism and early
satiety. The diagnosis was established by colonoscopy and biopsy.
The absence of lymph-node involvement, tumor size, existing cardiopulmonary
risk factors, and the fact that a full resection of the
malignancy proved possible, with tumor-free resection margins,
led us to exclude adjuvant chemotherapy. After one year of follow-
up the patient remains disease-free.
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D. Martínez-Ramos, J. Gibert-Gerez, J. M. Miralles-Tena, M. Martínez-Banaclocha, J. Escrig-Sos and J. L. Salvador-Sanchís. Laparoscopic colectomy for primary colonic lymphoma . 0


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