Accession Number : ADA260356


Title :   Iron Malabsorption in a Patient With Large Cell Lymphoma Involving the Duodenum


Descriptive Note : Journal article


Corporate Author : WALTER REED ARMY INST OF RESEARCH WASHINGTON DC


Personal Author(s) : Reid, III, Thomas J ; Stamm, Carl P ; Dunning, David M ; Redmond, III, John


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a260356.pdf


Report Date : Jan 1992


Pagination or Media Count : 5


Abstract : Antemortem diagnosis of gastrointestinal involvement by non-Hodgkin's lymphoma occurs in approximately 10% of cause. Malabsorption secondary to small bowel involvement by lymphoma in distinctly uncommon and iron deficiency in rarely the sole manifestation of malabsorption. We report a patient with the unusual feature of iron deficiency anemia compounded by selective malabsorption of iron because of occult lymphomatous (diffuse large cell) involvement of the small intestine. Both upper gastrointestinal series with small bowel follow- through and CT scan demonstrated lymphomatous involvement of the duodenum and proximal jejunum by a retroperitoneal mass. An oral iron loading absorption test was consistent with malabsorption of iron. After two cycles of systemic chemotherapy, the retroperitoneal mass had resolved and the iron loading test normalized.


Descriptors :   *CELLS , *LYMPHOMAS , *DUODENUM , TEST AND EVALUATION , MASS , CYCLES , DEFICIENCIES , PATIENTS , CHEMOTHERAPY , JEJUNUM , SMALL INTESTINE , EDEMA , ANEMIAS , HISTOLOGY , COMPUTERIZED TOMOGRAPHY , ABSORPTION , IRON , SECONDARY , REPRINTS


Subject Categories : Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE