Involvement of the rectum by Hodgkin's disease is quite rare. In Wang and Peterson's review1 in 1956 of all gastrointestinal lymphomas seen at the Massachusetts General Hospital over a 20-year period, there were 165 cases of lymphoma of the gastrointestinal tract. Of these, 89 were classified as primary. None demonstrated rectal involvement. In a study of 174 cases of Hodgkin's disease, Jackson and Parker2 in 1945 found 9 with gastrointestinal involvement. None of these cases was located in the rectum. In a survey of the world literature by Gechman, Bluth, and Gross3 in 1956, there were only 11 reported cases of Hodgkin's disease of the rectum. The majority of these, and the case they reported, had widely disseminated disease at the time the rectal lesions became apparent.
This paper concerns a patient who sought medical attention because of an anal lesion which proved to be Bowen's disease.