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August 1966

Malignant Lymphoma of the Colon: A Study of 69 Cases

Author Affiliations

From the sections of surgery and surgical pathology, Mayo Clinic and Mayo Foundation, and Mayo Graduate School of Medicine, Rochester.

Arch Surg. 1966;93(2):215-225. doi:10.1001/archsurg.1966.01330020007002

MALIGNANT lymphomas can involve the colon primarily as a localized entity or secondarily as a manifestation of generalized lymphoma. In either event, such tumors in this location are not commonly encountered by the surgeon. A correct diagnosis was rarely made before operation in the past because of the varying gross configurations of the lesions with different roentgenographic appearances. The roentgenographic features of this disease are now recognizable in many instances, but they are essentially the same whether the involvement is primary or secondary.

Multiple tumors are occasionally found in the colon. However, a localized malignant lymphoma may be found in another organ when the colonic tumor is recognized. Involvement of multiple organs is encountered when obvious generalized lymphoma is present, but there are instances in which the malignant process seems to be confined to two or three regions only.

We decided to review all surgical cases in which a colonic

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