Case Series Of Duodenal Follicular Lymphoma, Observed By Magnified Endoscopy With Narrow-band Imaging
Norimura, D., Isomoto, H., Imaizumi, Y., Akazawa, Y., Matsushima, K., Inoue, N., Yamaguchi, N., Ohnita, K., Shikuwa, S., Arima, T., Hayashi, T., Takeshima, F., Miyazaki, Y., & Nakao, K. (2011). Case series of duodenal follicular lymphoma, observed by magnified endoscopy with narrow-band imaging. Gastrointestinal endoscopy, 74(2), 428–434. https://doi.org/10.1016/j.gie.2011.03.1237
View Original Source →Case Details
Disease Location
Duodenal follicular
Personal Characteristics
76 -year-old female rheumatoid arthritis
Clinical Characteristics
Ra had been followed for 9 years and was kept in remission by methotrexate sodium and prednisolone underwent upper gi endoscopy for screening, duodenoscopy revealed multiple small whitish granules in the second portion of the duodenum beneath the papilla magnified chromoendoscopy with crystal violet observed dilatation and expansion of the villi. Nbi-magnified endoscopy found looped abnormal microvessels on the surface of lesions, and opaque white spots were perceived under the microvessels stage 2e follicular lymphoma was diagnosed based on histopathology of biopsy specimens from lesions CT showed swelling of multiple abdominal lymph nodes with a max size of 15mm in diameter. Treated with r-chop chemotherapy
Remission Characteristics
Follow-up cts and endoscopies every 3-4 months show a remission
Treatment & Mechanisms
Proposed Remission Mechanisms
No major mechanism proposed
Clinical Treatment
Mtreatment sodium and prednisolone for ra r-chop (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone)
Non-Clinical Treatment
None reported