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  3. Vol. 14 No. 2 (2021): Vol 14, No 2 (2021): Spring
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Vol. 14 No. 2 (2021)

March 2021

Primary follicular lymphoma of the duodenum: a case report and review of literatures

  • Cheep Charoenlap
  • Keerati Akarapatima
  • Komsai Suwanno
  • Attapon Rattanasupa
  • Arunchai Chang

Gastroenterology and Hepatology from Bed to Bench, Vol. 14 No. 2 (2021), 8 March 2021 , Page 185-189
https://doi.org/10.22037/ghfbb.v14i2.2057 Published: 2021-03-08

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Abstract

Follicular lymphoma (FL) is one of the most common types of non-Hodgkin lymphoma (NHL). The gastrointestinal tract is the most involved extra-nodal site of NHL. Primary duodenal FL (DFL) is a rare entity with only a few reported cases. It mainly involves the second part of the duodenum and has an excellent prognosis. We report the case of a 74-year-old man who underwent esophagogastroduodenoscopy. Endoscopic findings revealed multiple small whitish mucosal nodules which were detected around the major duodenal papilla. Biopsy of these lesions was compatible with grade I FL. Further investigation failed to demonstrate any evidence of nodal or systemic involvement; thus, the clinical staging was stage I, according to the Lugano staging system. A “watch and wait” policy was chosen. Neither lesion aggregation nor lymphadenopathy was noted during the 5-year follow-up period. In conclusion, this was an uncommon case of DFL with an indolent nature and excellent prognosis. However, further studies are needed to clarify the characteristics, prognosis, and therapeutic approach.

Keywords: Follicular lymphoma, Duodenum, Lymph node, Non-Hodgkin lymphoma.

(Please cite as: Charoenlap C, Akarapatima K, Suwanno K, Rattanasupar A, Chang A. Primary follicular lymphoma of the duodenum: a case report and review of literatures. Gastroenterol Hepatol Bed Bench 2021;14(2):185-189).

Keywords:
  • follicular lymphoma
  • duodenum
  • lymph node
  • non-Hodgkin lymphoma
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How to Cite

Charoenlap, C., Akarapatima, K. ., Suwanno, K. ., Rattanasupa, A. ., & Chang, A. (2021). Primary follicular lymphoma of the duodenum: a case report and review of literatures . Gastroenterology and Hepatology from Bed to Bench, 14(2), 185–189. https://doi.org/10.22037/ghfbb.v14i2.2057
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References

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