The role of surgical intervention in non-Hodgkin's lymphoma of the colon and rectum

Steven Cai, Francis Cannizzo, Kelli M. Bullard Dunn, John F. Gibbs, Myron Czuczman, Ashwani Rajput

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Gastrointestinal involvement of non-Hodgkin's lymphoma (NHL), although rare, may require surgical intervention. The purpose of the current study was to determine the incidence, presentation, and management of patients with NHL of the colon or rectum. Methods: Demographic data, signs, symptoms, disease stage, and treatment of patients with a primary gastrointestinal lymphoma treated between 1973 and 2005 were identified. Results: Forty-three of 244 gastrointestinal lymphoma patients (18%) had colon or rectal involvement. Most common symptoms on presentation were pain (49%), hematochezia (49%), change in bowel habits (23%), and weight loss (19%). Most common site of involvement was the ileocecum. Twenty-six patients (60%) required surgery. The majority (56%) had urgent or emergent operations. Conclusions: Colorectal involvement by NHL occurred in 18% of patients with gastrointestinal lymphoma. Surgery was required for pain, obstruction, and/or bleeding. Physicians caring for patients must be aware of the potential need for surgery in treating this patient population.

Original languageEnglish (US)
Pages (from-to)409-412
Number of pages4
JournalAmerican journal of surgery
Volume193
Issue number3
DOIs
StatePublished - Mar 2007
Externally publishedYes

Keywords

  • Colon
  • Non-Hodgkin's lymphoma
  • Rectum
  • Surgery

ASJC Scopus subject areas

  • Surgery

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