Intestinal presentation of non-Hodgkin lymphoma: Case report. (September 2021)

• Record Type: Journal Article
• Authors: Kansoun, Alaa; Chamma, Linda; Sadek, Maroun; Maerevoet, Marie; Ghorra, Claude; Abboud, Antoine Abi; Alam, Houssam
• Is Part Of: International journal of surgery case reports. Volume 86(2021)
• Publication Date: 2021-09
• Subjects: Intestinal -- Lymphoma -- Lebanese; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2021.106346
• Languages: English
• ISSNs: 2210-2612

Abstract

Abstract: Background: MEITL (monomorphic epitheliotropic intestinal T-cell lymphoma) is a rare primary intestinal T-cell lymphoma associated with high mortality rate. Being intestinal this implies difficult diagnostic workup and management. Case: We present a case of 59-year-old male presented with abdominal pain and found to have 15 × 11 cm mass in the right iliac fossa. Decision for surgical excision was retained and the Pathological examination determined monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) with CD30 positive immune-histochemical profile. Conclusion: MEITL is a rare entity which retains challenging diagnosis and management as well as variable immune-histochemical profile. In the absence of clear guidelines for the management of intestinal manifestation of lymphoma, surgical approach may have its indications. Highlights: Intestinal manifestation of lymphoma is a rare entity. This report highlights the surgical indication in establishing the diagnosis and the management. MEITL may present with variable immune-histochemical profile being CD30 positive.