Successful Endoscopic Resection of Residual Colonic Mucosa- Associated Lymphoid Tissue Lymphoma after Polypectomy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Mucosa-associated lymphoid tissue (MALT) lymphomas are typically found in the stomach, while colonic MALT lymphoma israrely found. Considering its rarity, definitive treatment of colonic MALT lymphoma has not been established. Different from thatin the stomach, Helicobacter pylori infection might play a minor role while determining the treatment of colonic MALT lymphoma. If colonic MALT lymphoma is localized, treatment options are surgical resection, radiation, endoscopic resection, or combinationtherapy. Here, we report a case of residual colonic MALT lymphoma after endoscopic mucosal resection, which was a 1.5-cm-sizedtumor confined to the superficial wall of the rectum. The lesion was successfully treated using the endoscopic submucosal dissectiontechnique. The patient remained disease-free for 4 years. This case provides rationale for endoscopic submucosal dissectiontreatment as a salvage therapy for residual tumors in properly selected patients with colonic MALT lymphoma.
Abstract
Mucosa-associated lymphoid tissue (MALT) lymphomas are typically found in the stomach, while colonic MALT lymphoma israrely found. Considering its rarity, definitive treatment of colonic MALT lymphoma has not been established. Different from thatin the stomach, Helicobacter pylori infection might play a minor role while determining the treatment of colonic MALT lymphoma. If colonic MALT lymphoma is localized, treatment options are surgical resection, radiation, endoscopic resection, or combinationtherapy. Here, we report a case of residual colonic MALT lymphoma after endoscopic mucosal resection, which was a 1.5-cm-sizedtumor confined to the superficial wall of the rectum. The lesion was successfully treated using the endoscopic submucosal dissectiontechnique. The patient remained disease-free for 4 years. This case provides rationale for endoscopic submucosal dissectiontreatment as a salvage therapy for residual tumors in properly selected patients with colonic MALT lymphoma.
참고문헌 (20)
- Isaacson P, "Malignant lymphoma of mucosa-associated lymphoid tissue. A distinctive type of B-cell lymphoma", Cancer, 52, pp.1410~1416 (1983)
- Ott G, "Commentary on the WHO classification of tumors of lymphoid tissues(2008) : indolent B cell lymphomas", J Hematop, 2, pp.77~81 (2009)
- Hollie N, "MALT lymphoma of the colon : a clinicopathological review", J Clin Pathol, 73, pp.378~383 (2020)
- Jeon MK, "Endoscopic features and clinical outcomes of colorectal mucosa-associated lymphoid tissue lymphoma", Gastrointest Endosc, 87, pp.529~539 (2018)
- Endoscopic Classification Review Group, "Update on the paris classification of superficial neoplastic lesions in the digestive tract", Endoscopy, 37, pp.570~578 (2005)
- Cheson BD, "Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma : the Lugano classification", J Clin Oncol, 32, pp.3059~3068 (2014)
- Draganov PV, "AGA institute clinical practice update : endoscopic submucosal dissection in the United States", Clin Gastroenterol Hepatol, 17, pp.16~25 (2019)
- Kobayashi R, "The feasibility of colorectal endoscopic submucosal dissection for the treatment of residual or recurrent tumor localized in therapeutic scar tissue", Endosc Int Open, 5, pp.E1242~E1250 (2017)
- Yang D, "Endoscopic mucosal resection vs endoscopic submucosal dissection for Barrett’s esophagus and colorectal neoplasia", Clin Gastroenterol Hepatol, 17, pp.1019~1028 (2019)
- Jeong JY, "Does submucosal fibrosis affect the results of endoscopic submucosal dissection of early gastric tumors?", Gastrointest Endosc, 76, pp.59~66 (2012)
- Fuccio L, "Clinical outcomes after endoscopic submucosal dissection for colorectal neoplasia : a systematic review and meta-analysis", Gastrointest Endosc, 86, pp.74~86 (2017)
- Kaltenbach T, "Endoscopic removal of colorectal lesions-recommendations by the US multi-society task force on colorectal cancer", Gastroenterology, 158, pp.1095~1129 (2020)
- Ferlitsch M, "Colorectal polypectomy and endoscopic mucosal resection(EMR) : European Society of Gastrointestinal Endoscopy(ESGE)clinical guideline", Endoscopy, 49, pp.270~297 (2017)
- 최혁순, "Accessory Devices Frequently Used for Endoscopic Submucosal Dissection", Clinical Endoscopy, 50(3), pp.224~233 (2017), 대한소화기내시경학회
- McCarty TR, "Endoscopic submucosal dissection(ESD)versus transanal endoscopic microsurgery(TEM)for treatment of rectal tumors : a comparative systematic review and meta-analysis", Surg Endosc, 34, pp.1688~1695 (2020)
- Wündisch T, "Long-term follow-up of gastric MALT lymphoma after Helicobacter pylori eradication", J Clin Oncol, 23, pp.8018~8024 (2005)
- Won JH, "Clinical features, treatment and outcomes of colorectal mucosa-associated lymphoid tissue (MALT)lymphoma: literature reviews published in English between 1993 and 2017", Cancer Manag Res, 11, pp.8577~8587 (2019)
- Schwartz BL, "Successful endoscopic resection of mucosa-associated lymphoid tissue lymphoma of the colon", ACG Case Rep J, 6, pp.e00228~ (2019)
- Chakinala RC, "Incidentally discovered extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue in the colon", Case Rep Med, 2017, pp.1505706~ (2017)
- Myung Hwan Kim, "A Case of Mucosa-Associated Lymphoid Tissue Lymphoma of the Sigmoid Colon Presenting as a Semipedunculated Polyp", Clinical Endoscopy, 47(2), pp.192~196 (2014), 대한소화기내시경학회
