Mantle cell lymphoma of the colon: case report and literature review

Primary extranodal lymphoma is a rare presentation of B-cell non-Hodgkin's lymphoma (NHL), most commonly found in the gastrointestinal tract. Mantle cell lymphoma (MCL), a rare and aggressive subtype, accounts for only 2.5% of all lymphoid neoplasms and is less commonly localized in the colon. We present a 79-year-old man with abdominal pain and nausea. Imaging revealed cecal wall thickening with ileocolic intussusception. Colonoscopy identified a circumferential cecal mass, necessitating robotic-assisted right hemicolectomy. Final pathology confirmed MCL. The patient recovered well without complications. Colorectal MCL is a rare and aggressive NHL variant requiring a multidisciplinary approach. Surgery plays a crucial role in managing complications and localized disease. Given the lack of standardized treatment protocols, further research is needed to optimize therapeutic strategies and long-term outcomes.

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Publication Details

Journal
Journal of Surgical Case Reports
Published
2025-04-29
DOI
https://doi.org/10.1093/jscr/rjaf347
Primary Topic
Lymphoma Diagnosis and Treatment
Type
article
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article

Mantle cell lymphoma of the colon: case report and literature review

Pasha Shenasan, Aakash Trivedi, Abraham El‐Sedfy, Gregory Crisafulli et al.
Journal of Surgical Case Reports
Lymphoma Diagnosis and Treatment
article

Mantle cell lymphoma of the colon: case report and literature review

Pasha Shenasan, Aakash Trivedi, Abraham El‐Sedfy, Gregory Crisafulli, Nawras Radwan
article en

Abstract

Primary extranodal lymphoma is a rare presentation of B-cell non-Hodgkin's lymphoma (NHL), most commonly found in the gastrointestinal tract. Mantle cell lymphoma (MCL), a rare and aggressive subtype, accounts for only 2.5% of all lymphoid neoplasms and is less commonly localized in the colon. We present a 79-year-old man with abdominal pain and nausea. Imaging revealed cecal wall thickening with ileocolic intussusception. Colonoscopy identified a circumferential cecal mass, necessitating robotic-assisted right hemicolectomy. Final pathology confirmed MCL. The patient recovered well without complications. Colorectal MCL is a rare and aggressive NHL variant requiring a multidisciplinary approach. Surgery plays a crucial role in managing complications and localized disease. Given the lack of standardized treatment protocols, further research is needed to optimize therapeutic strategies and long-term outcomes.

Journal of Surgical Case ReportsVol. 2025(5)
St. Joseph’s University Medical Center (US)
Good health and well-being
Openalex Percentile: Top 82%
Lymphoma Diagnosis and Treatment
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Mantle cell lymphoma of the colon: case report and literature review — Pasha Shenasan, Aakash Trivedi, et al. · Journal of Surgical Case Reports (2025) | TGRS Research Map | TGRS