International Journal of Gastrointestinal Cancer

, Volume 36, Issue 3, pp 171–175 | Cite as

Metastatic adenocarcinoma of the colon and follicular lymphoma within the same lymph node

A case report and review of the literature
  • Monisha Bhanote
  • Mamta Choksi
  • Philip Cassar
  • Morris Edelman
  • Ralph DellaRatta
  • Harry Staszewski
Case Report


Concomitant adenocarcinoma and non-Hodgkin’s lymphoma, both located in the intestinal tract, are unusual. We report a unique case of moderately differentiated of the cecum and a simultaneous follicular lymphoma, Grade 1, of the terminal ileum and regional lymph nodes in a 55-yr-old man. One lymph node was involved by both adenocarcinoma and follicular lymphoma. To our knowledge, this is the fifteenth reported case of concurrent adenocarcinoma and non-Hodgkin’s lymphoma of the intestine, but this is the first case with involvement of follicular lymphoma and adenocarcinoma within the same lymph node.

Key Words

Adenocarcinoma concomitant cancer follicular lymphoma synchronous malignancies lymph node 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Billroth. Quoted by Cornes (4).Google Scholar
  2. 2.
    Cattell RB, Boheme EJ. Importance of malignant degeneration as complication of chronic ulcerative colitis. Gastroenterology 1947;8:695–710.Google Scholar
  3. 3.
    Warren KW. Malignant lymphoma of the duodenum, small intestine and colon. Surg Clin North Am 1959;39:723–735.Google Scholar
  4. 4.
    Cornes JS. Multiple primary cancers: primary malignant lymphomas and carcinomas of the intestinal tract in the same patient. J Clin Pathol 1960;13:483–489.PubMedCrossRefGoogle Scholar
  5. 5.
    Sugihara S, Yamaguchi A, Matsumura K, Fujimura H. Concurrent malignant lymphoma of the jejunum and multiple synchronous colon cancers. Am J Gastroenterol 1983;78(6):341–345.Google Scholar
  6. 6.
    Seid Hossein Mir-Madjlessi, MD, Muhammad Vafai, MD, Jamshid Khademi, MD, Nasser Kamalian, MD. Coexisting Primary Malignant Lymphoma and Adenocarcinoma of the Large Intestine in an IgA-deficient boy. Dis Colon Rectum 1984;27:822–824,PubMedCrossRefGoogle Scholar
  7. 7.
    Hopster D, Smith PA, Nash JRG, Elders K, Poston GJ. Synchronous multiple lymphomatous polyposis and adenocarcinoma in large bowel. Postgrad Med J 1985;71:443–445.CrossRefGoogle Scholar
  8. 8.
    Wagle S, Mohandas K, Vazifdar K, Dhir V, Santhiswaroop V, P Jagannath, LJ Desouza. Synchronous adenocarcinoma and lymphoma of the colon. Indian J Gastroenterology 1997;16:28–29.Google Scholar
  9. 9.
    Kanehira K, Braylan RC, Lauwers GY. Early phase of mantle cell lymphoma: a report of two cases associated with advanced colonic adenocarcinoma. Mod Pathol 2001;14:811–817.PubMedCrossRefGoogle Scholar
  10. 10.
    Vijayalakshmi Padmanabhan, MBBS, MD; Thomas D. Trainer, MD. Synchronous Adenocarcinoma and Mantle Cell Lymphoma of the Colon. Arch Pathol Lab Med 2003;127(2),64–66.Google Scholar
  11. 11.
    Manweiler S, Dinges HP, Beham-Schmid C, Hauser H, Starlinger M, Regauer S. Colliding/Concomitant tumor of the intestine: Report of 3 cases. Path Onco Resear 2003;9(3).Google Scholar

Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  • Monisha Bhanote
    • 6
  • Mamta Choksi
    • 1
  • Philip Cassar
    • 2
  • Morris Edelman
    • 6
  • Ralph DellaRatta
    • 3
  • Harry Staszewski
    • 4
    • 5
  1. 1.Department of Internal Medicine, Oncology/Hematology Division, Oncology/Hematology DivisionWinthrop University HospitalMineola
  2. 2.Department of Internal Medicine, Oncology/Hematology DivisionWinthrop University HospitalMineola
  3. 3.Department of Internal Medicine, Oncology/Hematology DivisionWinthrop University HospitalMineola
  4. 4.Department of Internal Medicine, Oncology/Hematology DivisionWinthrop University HospitalMineola
  5. 5.Department of MedicineSUNY at Stony BrookStony Brook
  6. 6.Department of PathologyWinthrop University HospitalMineola

Personalised recommendations