RECTAL LYMPHOMA: A RARE CASE REPORT WITH REVIEW OF LITERATURE

Sunigdha .; Manraj S Kang; Pardeep Garg; Raja P S Banipal; Neha Gupta

doi:10.21761/jms.v2i01.11207

Sunigdha . Department of Radiotherapy, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab
Manraj S Kang Department of Radiotherapy, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab
Pardeep Garg Department of Radiotherapy, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab
Raja P S Banipal Department of Radiotherapy, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab
Neha Gupta Department of Radiotherapy, Guru Gobind Singh Medical College & Hospital, Faridkot, Punjab

DOI https://doi.org/10.21761/jms.v2i01.11207

Abstract

Introduction: Colorectal lymphoma is an extremely rare disease. The disease is usually

diagnosed in the advanced stages because of its primary nonspecific symptoms. Treatment

modality of primary lymphoma of the rectum remains uncertain.

Case History: A 45-year-old male presented with rectal bleeding, pain in perianal region and

alteration in bowel habits along with fungating and circumferential mass in the rectum. The

histopathology and immunohistochemistry confirmed the diagnosis of Plasmablastic

Lymphoma. He was planned six cycles of CHOP regime. On follow up the residual disease was

managed with second line of chemotherapy (DHAP regimen). The patient was started on

Metronomic chemotherapy (Chlorambucil & Etoposide) in view of persistent residual disease.

Conclusion: Optimal treatment for rectal lymphoma needs to be established.

Keywords: Rectal lymphoma, surgery, chemotherapy

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