Age

Sex

Biopsy Site

EUS-FNA ROSE Performed?

Indication for Procedure

Endoscopic Findings

Clinical Differential Diagnosis

Associated History/ Comorbidities

Final Diagnosis

62

M

Small Bowel

No

SBO, abnormal imaging of duodenum suspicious for tumor

Non-bleeding ulcer

AdCa vs lymphoma vs infection vs other

Immunosuppression for lung transplant for IPF, EBV viremia

Monomorphic PTLD,

DLBCL type, EBV negative

52

M

Stomach

No

Melena

Ulcers and mucosal induration

H. Pylori vs NSAID related injury vs lymphoma

Tobacco use, alcohol abuse, history of bleeding GI ulcers

Kappa restricted B cells by MFC. Atypical lymphoid infiltrate by morphology. (Lost to follow up.)

63

M

Colon

No

Diarrhea, bowel wall thickening on CT

Non-bleeding ulcers

Infection vs lymphoma

HBV, TB, nodal T-cell lymphoma, MAC and fungal pneumonia

MEITL

55

M

Colon

No

Abnormal PET scan of GI tract after diagnosis of CNS DLBCL

Infiltrative, sessile, ulcerated obstructing mass

Malignancy

Recently diagnosed CNS DLBCL, history of CLL

DLBCL and CLL

74

M

Colon

No

Anemia

Fungating non-obstructing mass

Malignancy

Immunosuppression for heart transplant for cardiomyopathy, EBV viremia

Monomorphic PTLD,

DLBCL type, EBV negative

67

M

Colon

Yes

Fevers, abdominal pain, anemia, colonic mass, LAD, and bony lesions seen on CT

Fungating ulcerated mass

Lymphoma

Anemia, fevers, abdominal pain, diverticulosis, bony lesions due to a kappa restricted B cell population

DLBCL

61

M

Colon

Yes

Screening colonoscopy

Polypoid, submucosal, ulcerated non-obstructing mass

Malignancy, suspicion for lymphoma

Seizure disorder

MCL