Intestinal Diffuse Large B-Cell Lymphoma in a Patient with Systemic Lupus Erythematosus

Masaya Iwamuro; Takahide Takahashi; Yoko Ota; Takehiro Tanaka; Noboru Asada; Shuya Yano; Mayu Uka; Rei Nakamura; Yuki Baba; Seiji Kawano; Yoshiro Kawahara; Hiroyuki Okada

doi:10.1155/2020/7947540

Case Reports in Gastrointestinal Medicine (Jan 2020)

Intestinal Diffuse Large B-Cell Lymphoma in a Patient with Systemic Lupus Erythematosus

Masaya Iwamuro,
Takahide Takahashi,
Yoko Ota,
Takehiro Tanaka,
Noboru Asada,
Shuya Yano,
Mayu Uka,
Rei Nakamura,
Yuki Baba,
Seiji Kawano,
Yoshiro Kawahara,
Hiroyuki Okada

Affiliations

Masaya Iwamuro: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Takahide Takahashi: Division of Medical Support, Okayama University Hospital, Okayama 700-8558, Japan
Yoko Ota: Department of Pathology & Experimental Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Takehiro Tanaka: Department of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Noboru Asada: Department of Hematology and Oncology, Okayama University Hospital, Okayama 700-8558, Japan
Shuya Yano: Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Mayu Uka: Department of Radiology, Okayama University Hospital, Okayama 700-8558, Japan
Rei Nakamura: Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Yuki Baba: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Seiji Kawano: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Yoshiro Kawahara: Department of Practical Gastrointestinal Endoscopy, Okayama University Hospital, Okayama 700-8558, Japan
Hiroyuki Okada: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan

DOI: https://doi.org/10.1155/2020/7947540
Journal volume & issue: Vol. 2020

Abstract

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A 44-year-old Japanese woman with systemic lupus erythematosus (SLE) presented to our hospital with abdominal pain. Radiological and endoscopic examinations led to the diagnosis of diffuse large B-cell lymphoma of the jejunum, which was subsequently resected. Patients with SLE reportedly have an increased risk of non-Hodgkin lymphoma, as demonstrated by our patient. Hence, lymphoma should be considered in the differential diagnosis of neoplastic lesions emerging in SLE patients. In addition, flow cytometry using endoscopically biopsied fragments is useful for the immediate diagnosis of lymphoma, leading to timely and accurate preoperative staging.

Published in Case Reports in Gastrointestinal Medicine

ISSN: 2090-6528 (Print); 2090-6536 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the digestive system. Gastroenterology
Website: https://www.hindawi.com/journals/crigm/

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