Diffuse Colonic Polyposis Detected at Screening Colonoscopy: Mantle-Cell Lymphoma

H. C. Wolfsen; S. R. Achem

doi:10.1055/s-2004-814418

Endoscopy, Table of Contents

Endoscopy 2004; 36(5): 471
DOI: 10.1055/s-2004-814418

Images in Focus

Diffuse Colonic Polyposis Detected at Screening Colonoscopy: Mantle-Cell Lymphoma

H. C. Wolfsen¹ , S. R. Achem¹

¹Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA

Abstract

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Figure 1 A 63-year-old asymptomatic white man was referred for screening colonoscopy, which detected diffuse polyposis throughout the colon and terminal ileum. Subsequently, similar lesions in the duodenum were found on upper endoscopy. Diffuse abdominal lymphadenopathy and thickened mucosa in the terminal ileum were identified on computed tomography.

Figure 2 Immunohistopathological studies confirmed mantle-cell lymphoma, with a predominance of B cells confirmed with positive CD20, CD5 and cyclin D1 immunostains. Treatment with combination chemotherapy, including rituximab, was initiated.