[METHODS]
The resected segment was sent for histopathological examination. On
gross examination the specimen showed brown growth-like area measuring
10*9 cm. Microscopic examination of the segment showed sheets of
lymphocytic cells infiltrating the subserosal fatty tissue where some of
the cells had monotonous appearance with interspersed numerous plasma
cells, few eosinophils and histiocytes (Figure 5).
Differential of Non-Hodgkin’s Lymphoma was made and advised for
Immunohistochemistry. Immunohistochemistry was conclusive of Enteropathy
Type T-cell Lymphoma with strong presence of CD3 marker positive in
atypical lymphoid cells, CD20 marker positive in occasional scattered
reactive B lymphoid cells, BCL2 positive, MPO positive in polymorphus,
CD7 and CD8 positive in atypical lymphoid cells and negative for CD4,
CD10, CD30, CD56, MUM-1, CK, CD2, CD5 (Figure 4).
The post-operative course was uneventful, and the patient was discharged
on the 7th postoperative day.
The patient was subsequently referred to an oncologist for further
management.