T cell/histiocyte rich large B cell lymphoma of ascending colon: a rare entity

Authors

  • Vinita Agrawal Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh
  • Mithlesh Bhargav Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh
  • Supriya Sharma Department of Surgical Gastroenterology, SGPGIMS, Lucknow, Uttar Pradesh
  • Vaibhav Raj Gopal Department of General Surgery, KGMU, Lucknow, Uttar Pradesh

DOI:

https://doi.org/10.18203/2349-2902.isj20200846

Keywords:

Colonic epithelial malignancy, Diffuse large B-cell lymphoma, Lenalidomide, Nodular lymphocyte predominant Hodgkin lymphoma, T cell/histiocyte rich large B cell

Abstract

Colonic T cell/histiocyte rich large B cell lymphoma (THRLBCL) is a very unusual occurrence never described before. A 41-year anaemic male presented with loss of weight and appetite for 7 months and fever with Malena for 1 month. Abdominal examination revealed a 4×6 cm retroperitoneal lump in the right iliac fossa. Radiological investigations (USG and CECT whole abdomen) reported an asymmetrical ill-defined growth in ascending colon and caecum with loco-regional lymphadenopathy. Surgical exploration revealed an ascending colon mass with retroperitoneal lymphadenopathy. Right hemi-colectomy with end ileostomy was done and specimen was sent for histopathology which diagnosed it to be a case of THRLBCL of colon. Patient was followed up after 2 weeks and was planned for chemotherapy.

Author Biographies

Vinita Agrawal, Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh

Professor, Department of Pathology

Mithlesh Bhargav, Department of Pathology, SGPGIMS, Lucknow, Uttar Pradesh

Senior Resident, Department of Pathology

Supriya Sharma, Department of Surgical Gastroenterology, SGPGIMS, Lucknow, Uttar Pradesh

Associate Professor, Department of Surgical Gastroenterology

Vaibhav Raj Gopal, Department of General Surgery, KGMU, Lucknow, Uttar Pradesh

Senior Resident, Department of General Surgery

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Published

2020-02-26

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Section

Case Reports