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- W45256647 abstract "Ileal pouch anal anastomosis (IPAA) has become the standard operation for most patients with ulcerative colitis1 and familial adenomatous polyposis (FAP)2 requiring surgery. This procedure allows patients to have bowel movements without needing a permanent ileostomy.Patients with ulcerative colitis are at increased risk for colorectal cancer (CRC). The main risk factors include the duration and extent of colitis, family history and the presence of primary sclerosing cholangitis.3–5Lymphoma is one of the most infrequently reported types of cancers associated with pouch surgery. Non-Hodgkin lymphoma encompasses a wide variety of lymphoid-derived tumours and may originate from B cells, T cells or histiocytes. They are likely to spread in a noncontiguous fashion, and one-third of all cases originate outside the lymph nodes in organs that normally have nests of lymphoid tissue (mucosal surfaces, bone marrow and skin). The most common extranodal affected site is the gastrointestinal tract.6The presenting symptoms of a patient with ileal lymphoma are fever, fatigue, malaise, weight loss and vague abdominal pain. Only 25% of patients with intestinal lymphoma present with fever, occult blood loss, anemia, a palpable mass or an acute abdomen,7 making its diagnosis more challenging. Additionally, the diagnosis of any kind of cancer in the pouch following IPAA remains difficult but is a growing concern.We describe the case of a 64-year-old man with a 30-year history of ulcerative colitis who presented with low-grade fever and symptoms of prostatism and urinary retention 10 years after undergoing an IPAA procedure." @default.
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- W45256647 date "2009-08-01" @default.
- W45256647 modified "2023-10-14" @default.
- W45256647 title "Lymphoma following ileal pouch anal anastomosis." @default.
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