Abstract

GONZALEZ PAREDES, Gabriela; UZCATEGUI PAZ, Estrella C  and  QUINTERO R, Carlos E. Linfoma T primario colónico: Reporte de un caso y revisión de la literatura. Rev. venez. oncol. [online]. 2006, vol.18, n.4, pp.264-268. ISSN 0798-0582.

Lymphomas of the gastrointestinal tract are the most frequent type of primary extranodal lymphomas and of these, the 15 % to 20 % are of intestinal location. The primary colonic lymphomas is extremely rare, they include 0.2 % to 0.6 % of all the colonic malignant neoplasm. They can be B or T. Intestinal T-cell lymphomas are much less common and can be or no associate to enteropathy celiac, Crohn’s disease and/or AIDS. They are more frequent in adult men in a proportion of 2:1. They are of slow evolution, clinically they make debut with abdominal pain associate to obstructive squares, followed by diarrhea, hemorrhages, perforation or abdominal mass. The treatment is controverted, in view of which only 30 % of the patients who go to surgery have the firm presumption of lymphoma. We present the case of a 62 year-old male patient who consulted by abdominal pain in left hypochondriac of 30 days of evolution associated to anorexia, sick feeling, vomits and manes. The gastrointestinal extension studies reported normal; the Computerized Axial Tomography showed a tumor in left hypochondriac that compressed extrinsically the descending colon. The patient was under surgery finding in a great adherence among great omentun, peritoneum, mesocolon, splenic flexure, jejunum and mesentery surgically, a 15 cm diameter tumor in jejune and great omentun. We realized a partial colectomy and small intestine resection with a T-T anastomosis with a well post-operative evolution.

Keywords : Cancer; colon; lymphoma non Hodgkin; intestinal primary lymphoma; treatment; surgery.