Non-Hodgkin's lymphoma presenting as ulcerative colitis
GarcÃa Ortiz, L.M.; Jaume Anselmi, F.; RamÃrez Rivera, J.é; Casiano Quiles, W.; Márquez Santiago, R.úl.
Boletin de la Asociacion Medica de Puerto Rico 98(2): 140-143
2006
ISSN/ISBN: 0004-4849 PMID: 19606804 Document Number: 702525
High-grade Non-Hodgkin's lymphomas are very aggressive type of malignancies. We report a high grade small B-cell (Burkitt's like) Non-Hodgkin's lymphoma that initially was considered and treated as ulcerative colitis without improvement or resolution of symptoms for nine months. The clinical presentation of 30 lb weight loss, diarrhea and dyspaurenia as complications of the developing and rapid growth of the mass were highly suggestive of malignancy. Acute lesions of ulcerative colitis begin at the anal verge and involve only the mucosa and submucosa. When induration of the perirectal areas develop a different pathology should be suspected.
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