Abstract

Small-bowel lymphoma is not a common disease, accounting for 15-20% of primary extranodal gastrointestinal lymphomas. Peritoneal lymphomatosis is considered a rare and aggressive presentation. We describe the case of a 55 years-old man affected by T-cell intestinal lymphoma, presenting with diffuse abdominal involvement, bowel dysfunction, severe ascites and pleural effusion, who underwent surgery. Clinical course led dramatically to death. Preoperative cytology and radiologic investigations did not yield diagnosis and were unable to differentiate between peritoneal carcinosis and lymphomatosis. It is suggested that, in such advanced cases, with rapidly deteriorating clinical conditions and huge systemic involvement, surgery is not indicated. On the contrary, maximum effort has to be spent to obtain a preoperative diagnosis.

Authors

Ridolfini MP, Caprino P, Berardi S, Rotondi F, Cusumano G, Sofo L, Pacelli F, Doglietto GB

Institution

Unit of Surgical Oncology, Centro di Ricerca e Cura "Giovanni Paolo II", Campobasso, Italy. marco.pericoliridolofini@rm.unicatt.it

Source

Annali italiani di chirurgia 83:1 pg 71-3

MeSH

Ascites
Carcinoma
Diagnosis, Differential
Fatal Outcome
Humans
Jejunal Neoplasms
Lymphoma, T-Cell
Male
Middle Aged
Neoplasm Staging
Neoplasms, Multiple Primary
Peritoneal Neoplasms
Pleural Effusion

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22352222