@article{oai:u-ryukyu.repo.nii.ac.jp:02015999, author = {Higa, Takao and Shiraishi, Masayuki and Kusano, Toshiomi and Muto, Yoshihiro}, issue = {4}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {A case of intestinal malignant lymphoma which developed as a result of radiotherapy for uterine cervical cancer is herein reported. A 67-year-old female who underwent radiotherapy at a total dose of 74 Gy for uterine cervical cancer in 1988 was referred to our Obstetncs and Gynecology Department on October 6, 1995 with a chief complaint of lower abdominal distention. An abdominal CT scan showed pyometra and a large heterogeneous dense mass at the ileocecal region. After draining the pyometra, she developed an intestinal obstruction and was referred to our Department on the 4th hospital day. Despite conservative treatment, her general condition continued to deteriorate and an exploratory laparotomy was performed 2 weeks after admission. A laparotomy revealed a large inflammatory mass consisting of a folded lleum with radiation damage, and this mass was resected with the affected ileum. In the resected specimen, the tumor appeared as an inflammatory conglomerated mass forming a whitish, hard mass expanding to the mesentery and infiltrating into the adjacent ileum. Microscopically, the tumor was diagnosed as malignant lymphoma (diffuse, medium-sized cell and B-cell type) and the adjacent ileum showed a radiation enteritis. Since this neoplasm developed within the irradiated field 7 years after radiotherapy, and had a different histologic type, while the organ of origin was also differed from the initial cancer, the patient was thus diagnosed as having radiation-induced malignant lymphoma., 論文}, pages = {203--207}, title = {[症例報告]Radiation-induced malignant lymphoma of the ileum : a case report}, volume = {16}, year = {1996} }