[10224 Malignant Lymphoma

Malignant lymphoma of the gastrointestinal tract accounts for 5% to 20% of non-Hodgkin's B-cell lymphoma. The stomach is the most common site of occurrence, and the small intestine is also commonly involved. Like adenocarcinoma, most patients have advanced lymphoma at the time of diagnosis by conventional endoscopy, with a poor prognosis; the 5-year survival rate is approximately 25% [7].

The endoscopic view (Fig. 10.2.4a) and selective contrast-enhanced radiograph (Fig. 10.2.4b) show a case of malignant lymphoma diagnosed by double-balloon endoscopy. The procedure was performed because bleeding from the upper jejunum was suspected based on tarry stools and significant anemia with a hemoglobin level of 4.1 g/dl [9].

Fig. 10.2.4. Malignant lymphoma a Endoscopic view b Selective contrast-enhanced radiograph

Fig. 10.2.4. Malignant lymphoma a Endoscopic view b Selective contrast-enhanced radiograph

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