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Department of Digestive Diseases. Complexo Hospitalario Universitario de Ourense. A year-old male was referred to our unit due to tenesmus, rectal bleeding and altered bowel habit. On rectal examination a hard mass was palpable.

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Department of Digestive Diseases. Complexo Hospitalario Universitario de Ourense. A year-old male was referred to our unit due to tenesmus, rectal bleeding and altered bowel habit. On rectal examination a hard mass was palpable.

A colonoscopy was performed where multiple polyps, most of them larger than 10 mm Fig. The histology Fig. In computed tomography CT multiple thoracic-abdominal-pelvic adenopathies, some of them forming a conglomerate Fig.

The patient was referred to the haematology department with the diagnosis of BCL for further study and treatment. The study was completed with a bone marrow aspirate that suggested infiltration by BCL. Although the most common gastrointestinal location is multiple lymphomatous polyposis, this endoscopic diagnosis remains very rare. It is characterized by the presence of multiple tumour-like polyps 2. Its natural history is very aggressive, with a median survival of 3 to 5 years.

The mean onset age is around 60 years and predominantly in males It often occurs in a disseminated form and with frequent extranodal involvement. An immunophenotypic study is essential to characterize the lymphoma: CD20, CD5 and cyclin D1 antigens and the presence of translocation t 11; Clinical factors associated with poor prognosis are advanced age, poor general condition, advanced stage, splenomegaly, elevated LDH, low serum albumin, tumour disease and anaemia.

Chemotherapy is the treatment of choice, including regimens with CHOP, cyclophosphamide, vincristine and prednisone COP and doxorubicin, teniposide, cyclophosphamide and prednisolone AvmCP. Romaguera J, Hagemeister FB. Lymphoma of the colon. Current Opin Gatroenterol ;21 1 Multiple lymphomatous polyposis of the gastrointestinal tract. Cancer ;74 11 Remes-Troche JM. A rare case of multiple lymphomatous poliposis. Arch Patol Lab Med ; World J Gastroenterol ;14 42 Multiple lymphomatous polyposis of the GI tract: report of a case and review.

Gastrointest Endosc ;56 4 Servicios Personalizados Revista. References recommended 1.

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A year-old man has been followed in our oncology hospital after prostatic cancer and prostatectomy. He was medicated with gonadotropin releasing hormone superagonist goserelin and olmesartan for arterial hypertension. Due to the recent installation of orthopnea, a chest X-ray was carried out, revealing a mass in the right hilar region which was subsequently characterized as right hilar and mediastinal lymphadenopathy by chest CT. Bronchoscopy with bronchial biopsies, citology and microbiological studies revealed no signs of malignancy or infection.

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