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- Title
The Pillow Sign: Is It Always Benign?
- Authors
Alvencar, Sujay; Holzwanger, Erik; Dhingra, Rohit; Karagozian, Raffi; Olans, Lori; Natov, Nikola S.
- Abstract
Mucosa-associated lymphoid tissue (MALT) lymphoma is classically found in the stomach; however, in less common, cases can be found in extragastric locations. Colonic MALTomas are exceedingly rare and comprise a small group of extragastric cases. There is no standardized approach for optimal management of this disease. We report a case of a colonic MALT lymphoma found on colonoscopy that demonstrated the pillow sign and appearance of a benign lipoma. Despite antimicrobial and endoscopic therapy, the malignancy reoccurred in a patient with chronic hepatitis B, thereby precluding one of the mainstays of treatment, rituximab, until viral eradication.
- Subjects
STOMACH tumors; LIVER function tests; RITUXIMAB; COLONOSCOPY; BIOPSY; CHRONIC diseases; B cell lymphoma; HEALTH care teams; CHRONIC hepatitis B; DISEASE complications
- Publication
ACG Case Reports Journal, 2021, Vol 8, Issue 2, p1
- ISSN
2326-3253
- Publication type
Article
- DOI
10.14309/crj.0000000000000540