MALIGNANT LYMPHOMATOUS POLYPOSIS - A RARE ENTITY OF GASTROINTESTINAL MALIGNANT-LYMPHOMA PRESENTING WITH A TYPICAL ENDOSCOPIC APPEARANCE

It is considered as special gastrointestinal manifestation on the noda l centrocytic lymphoma of intermediate malignancy. We demonstrate a 77 years old male patient, who underwent colonoscopy because of rectal b leeding. We found the colonic mucosa dotted with small, flat, lentifor m polyps. In the terminal ileum these polyps were much larger. No chan ges were seen in the esophagus. In the antrum we found flat elevations and in the duodenum again lentiform nodules. Presenting in stage IV o f non-Hodgkin's lymphoma the patient was treated with five cycles of c ombined chemotherapy with prednimustin and mitroxanthrone without side effects. Restaging showed distinct remission of the disease with sign ificant reduction of the mucosal alterations.