Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report

Mucosa-associated lymphoid tissue (MALT) lymphoma arises in extra-nodal sites from the malignant transformation of B lymphocytes that are mainly triggered by infection or autoimmune process. MALT lymphoma is frequently detected in the gastrointestinal tract. As the causal relationship between Helico...

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Main Authors: Jian Han, Zhe Zhu, Chao Zhang, Hua-ping Xie
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2021.715256/full
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author Jian Han
Zhe Zhu
Chao Zhang
Hua-ping Xie
author_facet Jian Han
Zhe Zhu
Chao Zhang
Hua-ping Xie
author_sort Jian Han
collection DOAJ
description Mucosa-associated lymphoid tissue (MALT) lymphoma arises in extra-nodal sites from the malignant transformation of B lymphocytes that are mainly triggered by infection or autoimmune process. MALT lymphoma is frequently detected in the gastrointestinal tract. As the causal relationship between Helicobacter pylori (H. pylori) infection and gastric MALT lymphoma, it was well-established that early-stage gastric MALT lymphoma could be cured by H. pylori eradication, and about 50–95% of cases achieved complete response with anti-H. pylori treatment. Compared to the stomach which is the most involved site due to the high prevalence of H. pylori infection, the colorectum is rarely affected. Primary rectal MALT lymphoma is a rare malignancy, and there are no specific therapeutic strategies so far. Here we report a case of rectal MALT lymphoma successfully resected by endoscopic submucosal dissection (ESD). ESD serves as a novel strategy to cure small localized rectal MALT lymphomas to avoid unnecessary surgery or chemo-radiotherapy.
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spelling doaj.art-1f47ae537b0845b9866982149ad08b372022-12-21T18:39:39ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-09-01810.3389/fmed.2021.715256715256Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case ReportJian Han0Zhe Zhu1Chao Zhang2Hua-ping Xie3Department of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, United StatesDepartment of Pathology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaMucosa-associated lymphoid tissue (MALT) lymphoma arises in extra-nodal sites from the malignant transformation of B lymphocytes that are mainly triggered by infection or autoimmune process. MALT lymphoma is frequently detected in the gastrointestinal tract. As the causal relationship between Helicobacter pylori (H. pylori) infection and gastric MALT lymphoma, it was well-established that early-stage gastric MALT lymphoma could be cured by H. pylori eradication, and about 50–95% of cases achieved complete response with anti-H. pylori treatment. Compared to the stomach which is the most involved site due to the high prevalence of H. pylori infection, the colorectum is rarely affected. Primary rectal MALT lymphoma is a rare malignancy, and there are no specific therapeutic strategies so far. Here we report a case of rectal MALT lymphoma successfully resected by endoscopic submucosal dissection (ESD). ESD serves as a novel strategy to cure small localized rectal MALT lymphomas to avoid unnecessary surgery or chemo-radiotherapy.https://www.frontiersin.org/articles/10.3389/fmed.2021.715256/fullcolonoscopyendoscopic submucosal dissectionendoscopic mucosal resectionmucosa-associated lymphoid tissue lymphomarectum
spellingShingle Jian Han
Zhe Zhu
Chao Zhang
Hua-ping Xie
Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
Frontiers in Medicine
colonoscopy
endoscopic submucosal dissection
endoscopic mucosal resection
mucosa-associated lymphoid tissue lymphoma
rectum
title Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
title_full Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
title_fullStr Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
title_full_unstemmed Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
title_short Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report
title_sort successful endoscopic resection of primary rectal mucosa associated lymphoid tissue lymphoma by endoscopic submucosal dissection a case report
topic colonoscopy
endoscopic submucosal dissection
endoscopic mucosal resection
mucosa-associated lymphoid tissue lymphoma
rectum
url https://www.frontiersin.org/articles/10.3389/fmed.2021.715256/full
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AT chaozhang successfulendoscopicresectionofprimaryrectalmucosaassociatedlymphoidtissuelymphomabyendoscopicsubmucosaldissectionacasereport
AT huapingxie successfulendoscopicresectionofprimaryrectalmucosaassociatedlymphoidtissuelymphomabyendoscopicsubmucosaldissectionacasereport