Aim:
In this paper, we aimed to present our surgical approach to ten patients who underwent surgery for primary colonic lymphoma and the features and clinical presentations of the tumors.
Methods:
We retrospectively analyzed the data of ten patients who underwent surgery in our clinic for primary colorectal lymphoma between January 2006 and December 2012.
Results:
The median age of the patients at the time of diagnosis was 66 (50-84) years. The most frequent presenting complaints were abdominal pain and change in bowel habits. The most frequent physical examination findings were abdominal distention and widespread tenderness. Three patients underwent emergency surgery subsequent to acute abdomen diagnosis. During the surgery, it was observed that one patient had ileocecal invagination, one patient had a mass that caused cecal perforation, and one other had an obstructive mass in the sigmoid colon. The most common localizations were the cecum (60%), sigmoid colon (30%), and the rectum (10%), respectively. The most frequent type was B-cell lymphoma (n=8).
Conclusion:
Primary colonic lymphoma is a rare condition. It is still yet uncertain whether surgery or chemotherapy should be advised first.
Keywords: Lymphoma, Diffuse large B-cell lymphoma, acute abdomen