Most intestinal lymphomas are of malt-type. The majority arise in the small intestine with colorectal lymphoma being uncommon. We report a case of 73 year old woman today who presented with abdominal pain and nausea. During surgery a tumour was found in the ileocecal region. Histologically the tumour was a low malignancy B-cell Iymphoma of malt-type. The patient responded well to chemotherapy and she was disease free for five years. In 1993 she was readmitted with diarrhoea of four months duration. Colonoscopy revealed multiple small polyps in the rectum. Specimens obtained during colonoscopy had microscopical features of B-cell lyphoma of malt-type similar in appearance with that seen in the previous biopsy. The patient’s response to repeated chemotherapy was excellent and the rectal polyps disappeared. In 1994 the patient was admitted once again with diarrhoea and rectal polyps which had the same histological features of malt-Lymphoma. The patient treated with chemotherapy and until now she is disease free.

Key words: Lymphoma, large intestine.

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