The patient was 77-year-old man. He visited our hospital with the chief complaint of an abdominal mass in March 2015. We diagnosed the patient with transverse colon
cancer and he was suspected of having
malignant lymphoma. In March 2016, we attempted to perform right
hemicolectomy for the transverse colon
cancer, but it was difficult because swollen lymph nodes had formed a large mass with the surrounding tissue, including vessels of the mesentery. We could only complete the surgery after mesenteric lymph node biopsy. On the basis of the results of this biopsy, we diagnosed angioimmunoblastic Tcell
lymphoma. At first, we administered THP-COP
therapy for
malignant lymphoma. However, after 3 courses of this
therapy, the patient suddenly developed
ileus due to the aforementioned
colon cancer. According to enhanced CT performed at the onset of
intestinal obstruction,
chemotherapy dramatically reduced the size of the intraperitoneal lymph nodes. We therefore concluded that it was able to treat the
colon cancer. We performed right
hemicolectomy in June 2015. Angioimmunoblastic
T-cell lymphoma comprises only 2-3% of all
malignant lymphoma cases. We experienced a rare case of complications from angioimmunoblastic
T-cell lymphoma and
colorectal cancer.