Mantle Cell Lymphoma with a Single Protruding Lesion as the Cause of Intussusception

Intern Med. 2018 Jun 15;57(12):1751-1755. doi: 10.2169/internalmedicine.0199-17. Epub 2018 Feb 9.

Abstract

Mantle cell lymphoma (MCL) is a malignant lymphoma of the gastrointestinal tract that mostly presents as multiple lymphomatous polyposis (MLP); however, MLP with intussusception is rarely reported in MCL. Furthermore, a single protruding lesion with intussusception has never been reported in primary small intestinal MCL. A 70-year-old man presented with pain in the right lower abdomen. Computed tomography and colonoscopy revealed ileocecal intussusception. Ileocecal resection was performed. Histology and immunohistochemistry of the resected specimen showed MCL with a single protruding lesion. The patient was successfully treated with surgery alone and remains in complete remission at the three-year follow-up.

Keywords: intussusception; mantle cell lymphoma; protruding lesion.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cecal Neoplasms / complications*
  • Cecal Neoplasms / pathology
  • Cecal Neoplasms / surgery
  • Humans
  • Ileal Neoplasms / complications*
  • Ileal Neoplasms / pathology
  • Ileal Neoplasms / surgery
  • Intussusception / etiology*
  • Lymphoma, Mantle-Cell / complications*
  • Lymphoma, Mantle-Cell / pathology
  • Lymphoma, Mantle-Cell / surgery
  • Male
  • Remission Induction
  • Tomography, X-Ray Computed / adverse effects