A 51 year old woman with a two year history of ulcerative colitis deve
loped a wide spread gastrointestinal non-Hodgkin's lymphoma of low gra
de malignancy (MALT-lymphoma) involving upper and lower gastrointestin
al tract, spleen, and bone marrow. After chemotherapy, clinical sympto
ms improved and lymphocytic infiltrates disappeared. Thirty nine cases
of ulcerative colitis and 22 cases of Crohn's disease complicated by
gastrointestinal lymphomas reported in published works are reviewed. I
n inflammatory bowel diseases any dense lymphocytic infiltrates seen i
n biopsy specimens obtained from ulcerative colitis or Crohn's disease
should be assessed to exclude gastrointestinal lymphoma.