Diffuse large B cell lymphoma of the mesentery: an unusual presentation and review of the literature. It is difficult to say with any broad accuracy what kind of prognosis can be expected with mesenteric lymphoma, and that is because the disease itself is so rare, and so little research has been done specifically on this disease, even retrospectively. Surgical resection of the tumor is a common treatment, followed by adjuvant chemotherapy. To reiterate, mesenteric tumors or masses are typically not found unless by mistake, and can, therefore, grow quite large. How is Mesenteric Lymphoma Treated and What is the Prognosis? In one noted case, a mesenteric tumor was discovered in a completely asymptomatic patient that measured a shocking 18x14x10 cm. In fact, these lymphomas are often found on accident, when doctors or surgeons are looking for something else. Mesenteric lymphomas can become quite large and yet not cause any symptoms. There are internal lymph nodes in the abdomen (mesenteric and retroperitoneal), chest cavity (mediastinal), and lower abdomen (pelvic). Thus if and when symptoms do appear from such a tumor, they tend to cause intestinal problems such as constipation, as well as diffuse abdominal pain and occasionally nausea and/or vomiting. Symptoms of mesenteric lymphomas are not quite the same as we see in other lymphomas, largely because of the region itself. The 'filling' is made up of tubular mesenteric vessels and perivascular fat. What this means is that there are confluent mesenteric lymph nodes that represent the two half buns of a sandwich. When the mesentery is imaged by way of CT or ultrasound, a very telling image will appear if the patient is suffering from mesenteric lymphoma. Additionally, the mesenteric lymph nodes, sometimes involved in various lymphomas, are located here. A variety of nerves, as well as blood and lymph vessels pass through here. Relevant to this article, the small bowel mesentery connects the small intestine to the abdominal wall. This is the American ICD-10-CM version of I88.0 - other international versions of ICD-10 I88.0 may differ. The 2023 edition of ICD-10-CM I88.0 became effective on October 1, 2022. The term 'mesenteric' or mesentery refers to folds of tissue that attach organs to the body wall. I88.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. ' Lymphoma' is an umbrella term that loosely refers to several dozen independent categorical types and subtypes of cancers of the lymphatic system. Mesenteric lymphoma forms in the lymph nodes within the mesentery. What Is Mesenteric Lymphoma The tissue between the intestine and the abdominal wall that envelopes the bowel is called the mesentery. This entry looks at what is sometimes referred to as mesenteric lymphoma, also referred to as non-Hodgkin's lymphoma of the mesentery, one of the categorical types of lymphoma. Mesenteric lymphoma is a rare disease, affecting fewer than 1 out of every 200,000 people.
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