The Pillow Sign: Is It Always Benign?

Mucosa-associated lymphoid tissue (MALT) lymphoma is classically found in the stomach; however, in less common, cases can be found in extragastric locations. Colonic MALTomas are exceedingly rare and comprise a small group of extragastric cases. There is no standardized approach for optimal manageme...

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Detalles Bibliográficos
Autores principales: Alvencar, Sujay, Holzwanger, Erik, Dhingra, Rohit, Karagozian, Raffi, Olans, Lori, Natov, Nikola S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909236/
https://www.ncbi.nlm.nih.gov/pubmed/33654703
http://dx.doi.org/10.14309/crj.0000000000000540
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author Alvencar, Sujay
Holzwanger, Erik
Dhingra, Rohit
Karagozian, Raffi
Olans, Lori
Natov, Nikola S.
author_facet Alvencar, Sujay
Holzwanger, Erik
Dhingra, Rohit
Karagozian, Raffi
Olans, Lori
Natov, Nikola S.
author_sort Alvencar, Sujay
collection PubMed
description Mucosa-associated lymphoid tissue (MALT) lymphoma is classically found in the stomach; however, in less common, cases can be found in extragastric locations. Colonic MALTomas are exceedingly rare and comprise a small group of extragastric cases. There is no standardized approach for optimal management of this disease. We report a case of a colonic MALT lymphoma found on colonoscopy that demonstrated the pillow sign and appearance of a benign lipoma. Despite antimicrobial and endoscopic therapy, the malignancy reoccurred in a patient with chronic hepatitis B, thereby precluding one of the mainstays of treatment, rituximab, until viral eradication.
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spelling pubmed-79092362021-03-01 The Pillow Sign: Is It Always Benign? Alvencar, Sujay Holzwanger, Erik Dhingra, Rohit Karagozian, Raffi Olans, Lori Natov, Nikola S. ACG Case Rep J Case Report Mucosa-associated lymphoid tissue (MALT) lymphoma is classically found in the stomach; however, in less common, cases can be found in extragastric locations. Colonic MALTomas are exceedingly rare and comprise a small group of extragastric cases. There is no standardized approach for optimal management of this disease. We report a case of a colonic MALT lymphoma found on colonoscopy that demonstrated the pillow sign and appearance of a benign lipoma. Despite antimicrobial and endoscopic therapy, the malignancy reoccurred in a patient with chronic hepatitis B, thereby precluding one of the mainstays of treatment, rituximab, until viral eradication. Wolters Kluwer 2021-02-26 /pmc/articles/PMC7909236/ /pubmed/33654703 http://dx.doi.org/10.14309/crj.0000000000000540 Text en © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Alvencar, Sujay
Holzwanger, Erik
Dhingra, Rohit
Karagozian, Raffi
Olans, Lori
Natov, Nikola S.
The Pillow Sign: Is It Always Benign?
title The Pillow Sign: Is It Always Benign?
title_full The Pillow Sign: Is It Always Benign?
title_fullStr The Pillow Sign: Is It Always Benign?
title_full_unstemmed The Pillow Sign: Is It Always Benign?
title_short The Pillow Sign: Is It Always Benign?
title_sort pillow sign: is it always benign?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7909236/
https://www.ncbi.nlm.nih.gov/pubmed/33654703
http://dx.doi.org/10.14309/crj.0000000000000540
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