Abstract
This paper presents the computed tomographic (CT) and barium enema (BE) findings in seven patients with proven primary lymphoma of the colon and rectum. CT and BE examination are complimentary studies in the evaluation of primary lymphoma of the colorectum, and certain relevant findings may be missed when radiographic evaluation does not include both modalities. Both CT and barium studies are very accurate in detecting bulky endoexoenteric tumor masses, although CT may suggest features which can differentiate primary lymphoma from adenocarcinoma. The real utility of obtaining both a CT and BE examination may lie more in diagnosing complications, such as fistula formation and in the evaluation of subtle infiltrative lesions. While CT is necessary for staging purposes, BE examination may be invaluable for detecting subtle mucosal filling defects which could be missed on CT.
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References
Nyberg DA, Federle MP. AIDS-related Kaposi sarcoma and lymphomas. Sem Roentgenol 1987;22:54–65
Nyberg DA, Jeffrey RB, Federle MP, Bottles K, Abrams DI. AIDS-related lymphomas: evaluation by abdominal CT. Radiology 1986;159:59–63
Jones B, Fishman EK. CT of the gut in the immunocompromised host. Radiol Clin North Am 1989;27:763–771
Carvalho PC, Bannerjee AK, Goodman A. Computed tomography of rectal lymphoma. J Comput Assist Tomogr 1990;14:379–380
Haskal ZJ, Lindan CE, Goodman PC. Lymphoma in the immuno-compromised patient. Radiol Clin North Am 1990;28:885–899
O'Connell DJ, Thompson AJ. Lymphoma of the colon—the spectrum of radiologic changes. Gastrointest Radiol 1978;2:377–385
Burgener FA, Hamlin DJ. Histiocytic lymphoma of the abdomen—radiographic spectrum. AJR 1981;137:337–342
Brady LW. Malignant lymphoma of the gastrointestinal tract. Radiology 1980;137:291–298
Coscina WF, et al. Gastrointestinal tract focal mass lesions: role of CT and barium evaluations. Radiology 1986;158:581–587
Megibow AJ, Balthazar EJ, Naidich DP, Bosnich MA. Computed tomography of gastrointestinal lymphoma. AJR 1983;141:541–547
Fishman EK, Kuhlman JE, Jones RJ. CT of lymphoma—spectrum of disease. Radiographics 1991;11:647–669
Hildell J, Nyman U, Resengren JE. Lymphoma of the colon—detected by CT. Br J Radiol 1981;54:144–146
Neumann CH, Robert NJ, Canellos G, Rosenthal D. Computed tomography of the abdomen and pelvis in non-Hodgkin lymphoma. J Comput Assist Tomogr 1983;7:846–850
Lewin KJ, Rarehol M, Dorkman RF. Lymphomas of the gastrointestinal tract. Cancer 1978;42:693–705
Dodd GD. Lymphoma of the hollow abdominal viscera. Radiol Clin North Am 1990;28:771–783
Freeman C, Berg JW, Cutler SJ. Occurrence and prognosis of extranodal lymphomas. Cancer 1972;29:252–260
Herrman RA, et al. Gastrointestinal involvement in non-Hodgkin's lymphoma. Cancer 1980;46:215–222
Bruneton JN, et al. Colonic and rectal lymphomas. Fortschr Rontgenstr 1983;138:283–287
Wyatt SH, Fishman EK, Hruban RH, Siegelman SS. CT of primary colonic lymphoma: Radiologic/pathologic correlation. AJR 1992 (in press)
Thoeni RF, Moss AA, Schnyder P, Margulis AR. Detection and staging of primary rectal and rectosigmoid cancer by computed tomography. Radiology 1981;141:135–138
Williams SM, Berk RN, Harned RK. Radiologic features of multinodular lymphoma of the colon. AJR 1984;143: 87–91
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Wyatt, S.H., Fishman, E.K. & Jones, B. Primary lymphoma of the colon and rectum: CT and barium enema correlation. Abdom Imaging 18, 376–380 (1993). https://doi.org/10.1007/BF00201787
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DOI: https://doi.org/10.1007/BF00201787