Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis

Introduction. Lymphoma of the appendix is a rare cause of acute appendicitis; however, acute appendicitis is a common first manifestation of appendiceal lymphomas. Cytotoxic peripheral T cell lymphoma (PTCL) is a type of aggressive non-Hodgkin lymphoma that portends a generally poor outcome. Cytotox...

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Main Authors: Negin Rahmani, Yahya Daneshbod, Hadi Mirfazaelian, Elnaz Vahidi, Sadegh Shirian
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2020/8569426
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author Negin Rahmani
Yahya Daneshbod
Hadi Mirfazaelian
Elnaz Vahidi
Sadegh Shirian
author_facet Negin Rahmani
Yahya Daneshbod
Hadi Mirfazaelian
Elnaz Vahidi
Sadegh Shirian
author_sort Negin Rahmani
collection DOAJ
description Introduction. Lymphoma of the appendix is a rare cause of acute appendicitis; however, acute appendicitis is a common first manifestation of appendiceal lymphomas. Cytotoxic peripheral T cell lymphoma (PTCL) is a type of aggressive non-Hodgkin lymphoma that portends a generally poor outcome. Cytotoxic PTCL of the appendix is extremely rare with few cases reported in the literature. Case Presentation. This is the report of a 23-year-old man who had experienced lower abdominal pain for three months before presenting to the emergency department with severe right lower abdominal pain, nausea, vomiting, and anorexia since the day prior to admission. The patient was diagnosed with acute appendicitis, and the pathology report confirmed cytotoxic PTCL of the appendix. Conclusion. Patients with appendiceal PTCL commonly present with signs and symptoms of acute appendicitis due to luminal obstruction by the tumor. Therefore, appendiceal tumors such as PTCL should be considered in the differential diagnosis of patients presenting as acute appendicitis. In addition, since there is no standard chemotherapy regimen for cytotoxic PTCL, this and other case reports hopefully help in providing the clinical evidence needed for establishing appropriate treatment guidelines.
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spelling doaj-art-7dd2482b0ba248979e168fb9e80d0af62025-02-03T06:46:53ZengWileyCase Reports in Oncological Medicine2090-67062090-67142020-01-01202010.1155/2020/85694268569426Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute AppendicitisNegin Rahmani0Yahya Daneshbod1Hadi Mirfazaelian2Elnaz Vahidi3Sadegh Shirian4Shiraz University of Medical Sciences, Shiraz, IranShiraz Molecular Pathology Research Center, Dr. Daneshbod Lab, Shiraz, IranEmergency Medicine Department, Tehran University of Medical Sciences, Tehran, IranEmergency Medicine Department, Tehran University of Medical Sciences, Tehran, IranDepartment of Pathology, School of Veterinary Medicine, Shahrekord University, Shahrekord, IranIntroduction. Lymphoma of the appendix is a rare cause of acute appendicitis; however, acute appendicitis is a common first manifestation of appendiceal lymphomas. Cytotoxic peripheral T cell lymphoma (PTCL) is a type of aggressive non-Hodgkin lymphoma that portends a generally poor outcome. Cytotoxic PTCL of the appendix is extremely rare with few cases reported in the literature. Case Presentation. This is the report of a 23-year-old man who had experienced lower abdominal pain for three months before presenting to the emergency department with severe right lower abdominal pain, nausea, vomiting, and anorexia since the day prior to admission. The patient was diagnosed with acute appendicitis, and the pathology report confirmed cytotoxic PTCL of the appendix. Conclusion. Patients with appendiceal PTCL commonly present with signs and symptoms of acute appendicitis due to luminal obstruction by the tumor. Therefore, appendiceal tumors such as PTCL should be considered in the differential diagnosis of patients presenting as acute appendicitis. In addition, since there is no standard chemotherapy regimen for cytotoxic PTCL, this and other case reports hopefully help in providing the clinical evidence needed for establishing appropriate treatment guidelines.http://dx.doi.org/10.1155/2020/8569426
spellingShingle Negin Rahmani
Yahya Daneshbod
Hadi Mirfazaelian
Elnaz Vahidi
Sadegh Shirian
Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
Case Reports in Oncological Medicine
title Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
title_full Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
title_fullStr Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
title_full_unstemmed Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
title_short Peripheral Cytotoxic T Cell Lymphoma of the Appendix Presenting as Acute Appendicitis
title_sort peripheral cytotoxic t cell lymphoma of the appendix presenting as acute appendicitis
url http://dx.doi.org/10.1155/2020/8569426
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AT hadimirfazaelian peripheralcytotoxictcelllymphomaoftheappendixpresentingasacuteappendicitis
AT elnazvahidi peripheralcytotoxictcelllymphomaoftheappendixpresentingasacuteappendicitis
AT sadeghshirian peripheralcytotoxictcelllymphomaoftheappendixpresentingasacuteappendicitis