Open Journal of Clinical and
Medical Images
Clinical Image - Open Access, Volume 4
Expect the unexpected: A subtle appearance of duodenal-type follicular lymphoma
Joel Thio1,2*; Thomas Brennan3; Jeevithan Sabanathan1,4
1Department of Gastroenterology and Hepatology, Logan Hospital, Queensland, Australia.
2Faculty of Medicine, University of Queensland, Brisbane, Australia.
3Department of Anatomical Pathology, Princess Alexandria Hospital, Queensland, Australia.
4Faculty of Medicine, Griffith University, Brisbane, Australia.
*Corresponding Author: Joel Thio
Department of Gastroenterology and Hepatology, Logan Hospital, Queensland, Australia.
Email: joel_thio@hotmail.com
Received : Aug 08, 2024
Accepted : Sep 05, 2024
Published : Sep 12, 2024
Archived : www.jclinmedimages.org
Copyright : © Thio J (2023).
Citation: Thio J, Brennan T, Sabanathan J. Expect the unexpected: A subtle appearance of duodenal-type follicular lymphoma. Open J Clin Med Images. 2024; 4(2): 1192.
Description
A 61-year-old Indian male presented to our service for further investigation of his iron deficiency anaemia. He had a background of hypertension, ischemic heart disease, and benign prostate hypertrophy. Laboratory investigations revealed a haemoglobin of 127 grams per litre and a ferritin of 29 micrograms per litre. He had a recent colonoscopy which was normal. Gastroscopy revealed a poorly circumscribed 10 mm area of scattered dilated intestinal lacteals in the third part of the duodenum that was biopsied (Figure 1A). Histology revealed multiple expanded lymphoid nodules in the lamina propria with atypical lymphocytes with low-grade morphology, with immunohistochemistry staining positive for CD20, CD10, BCL6, BCL2, consistent with low-grade follicular lymphoma (Figure 1B).
Duodenal-type follicular lymphoma is a rare entity that usually follows an indolent course. The most common finding on endoscopic examination is that of white polypoid nodules.
Declarations
Disclosures: None.
Consent: Verbal and written consent was obtained from the patient.