Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 9, Number 9, September 2018, pages 313-319

Sessile Serrated Adenoma of the Appendix and Perforated Cecal Lymphoma in a Nonagenarian on Novel Anticoagulant Undergoing Emergent Surgery: The Challenges, Decision Making and Management of a Rare Case


Figure 1.
Figure 1. Perforated mass in right iliac fossa.
Figure 2.
Figure 2. Histopathological slide showing sessile serrated adenoma.
Figure 3.
Figure 3. Histopathological slide showing diffuse large B cell lymphoma, IHC positive for CD10 and CD20.


Table 1. Criteria for Diagnosing Colorectal Lymphoma
1No enlarged superficial lymph nodes on first patient encounter
2White cell counts and bone marrow biopsy in normal range
3No mediastinal lymphadenopathy on chest radiographs
4Only regional nodes are affected by the disease at laparotomy
5Liver and the spleen are free of tumor