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
59 -year-old female hypertension and diabete mellitus
Clinical Characteristics
When following up because of hypertension and diabetes, her blood glucose level elevated increasingly and pancreatic cancer had to be ruled out abdominal CT showed swelling of para-aortic and mesenteric lymph nodes positron emission CT detected accumulation in the para-aortic, mesenteric, and left axillary lymph nodes. Biopsy specimen from left axillary lymph nodes revealed follicular lymphoma upper gi endoscopy was used to investigate involvement, duodenoscopy found small whitish granules in the second portion of the duodenum nbi-magnified endoscopy demonstrated coiled and elongated microvessels within the surface of the lesions and some avascular white spots under the microvessels one course of r-chop was administered because of associated adverse events
Remission Characteristics
Follow-up CT and gi endoscopy every 3-4 months reveal a continual remission
Treatment & Mechanisms
Proposed Remission Mechanisms
No major mechanism proposed
Clinical Treatment
One course of r-chop
Non-Clinical Treatment
None reported