| 초록 |
The patient was a 67-year-old man. Fecal occult blood positive was indicated at an examination in August 1999. Colonoscopy revealed rough-surfaced mucosa accompanied by erosion in the rectum (Ra), and uniform lymphocyte invasion was diagnosed by biopsy. Thereafter, biopsy was conducted regularly with the same results. Diarrhoea and melaena appeared in February 2003, and endoscopy revealed an enlarged, well-defined hemorrhagic elevated lesion at the same site. Malignant lymphoma was diagnosed by biopsy this time. Low anterior resection and D2 lymph node dissection were performed in March 2003. The resected specimen was a tabular elevated lesion in the rectum (Ra) 12×11 cm in size. The results of histopathological examination showed T-cell malignant lymphoma, stage IIIb (A, N2, P0, H0, M0). The prognosis for primary T-cell malignant lymphoma of the large intestine is generally known to be extremely poor. However, we are obtaining long-term survival in this case by treating primary T-cell malignant lymphoma of the rectum with surgery and postoperative chemoradiation therapy. |
