FIVE CASES OF MALIGNANT LYMPHOMA OF THE SMALL INTESTINE

Abstract

During the last 10 years, five cases of malignant lymphoma of the small intestine have been treated in Tottori Red Cross Hospital. The male-to-female ratio was 1.5:1. Most patients complained mainly of abdominal pain, and the period of suffering was 33 days on average. Concerning gross type, two cases were polypoid, two were ulcerative, and one was constrictive. These gross types were closely related to clinical symptoms: two cases of polypoid type had intussusception, one case of ulcerative type perforation and one case of constrictive type had ileus. Three cases were Stage II, one was Stage III and on was Stage IV. Three cases of Stage II are all alive, but two cases of Stage III and IV died within two months. One case of Stage II who has survived ten years underwent gastrectomy because of gastric cancer (stage I) five years after the first operation for malignant lymphoma. It is thus thought that such cases of long survival have a risk factor of metachronous malignant tumor.