A Case of Primary Ileocecal Lymphoma
Abstract: Primary lymphoma in
gastrointestinal tract is not very common. Ileocecal region is the commonest site
for primary lymphoma and diffuse large B cell lymphoma (DLBCL) is the most
prevalent subtype. The clinical presentation in this condition is pain in right
lower quadrant region and this can very confusing since many diseases can also
cause this problem like infection and inflammatory disease. In this paper, we
report a case of primary lymphoma subtype DLBCL in ileocecal region that come
to emergency department with ileus obstruction. Abdominal computerized
tomography (CT) scan and colonoscopy revealed tumour in ileocecal region
ascendens colon. Hemicolectomy was performed and the specimen was sent to
pathology which revealed non-Hodgkin lymphoma with subtype DLBCL CD20 (+). The
patient had undergone of Rituximab, Cyclophosphamide, Doxorubicine, Vincristin,
and Prednison (RCHOP) chemotherapy regimen and had complete remission.
Keywords: lymphoma; primary;
ileocecal; RCHOP chemotherapy
Author: Wulyo Rajabto,
Djumhana Atmakusuma, Ivan Onggo S, Dadang Makmun
Journal Code: jpkedokterangg160426
