120-GBaud 16-QAM silicon photonics IQ modulator for data center interconnection.

We demonstrated all-silicon IQ modulators (IQMs) operating at 120-GBaud 16-QAM with suitable bandwidth, and output power. We required optical signal-to-noise-ratio (rOSNR) that have promising potential to be used in 800-Gbps small-form-factor pluggable transceivers for data center interconnection. First, we tested an IQM chip using discrete drivers and achieved a per-polarization TX output power of -18.74 dBm and an rOSNR of 23.51 dB over a 100-km standard SMF. Notably, a low BER of 1.4e-3 was obtained using our SiP IQM chip without employing nonlinear compensation, optical equalization, or an ultra-wide-bandwidth, high-ENOB OMA. Furthermore, we investigated the performance of a 3D packaged transmitter by emulating its frequency response using an IQM chip, discrete drivers, and a programmable optical filter. With a laser power of 17 dBm, we achieved a per-polarization output power of -15.64 dBm and an rOSNR of 23.35 dB.

Lipidomic study and diagnosis of hepatocellular carcinoma tumor with rapid evaporative ionization mass spectrometry.

Liver cancer is generally considered the leading cause of cancer deaths worldwide, and hepatocellular carcinoma (HCC) contributes to more than 90% of liver cancers. The altered lipid metabolism for rapid cancer cell growth and tumor formation has been frequently proven. In this study, an ambient ionization mass spectrometry technique, rapid evaporative ionization mass spectrometry (REIMS) using a monopolar electric knife, called iKnife, was systematically optimized and employed for ex vivo analysis of 12 human HCC tumor tissue specimens together with the paired paracancerous tissue (PT) and noncancerous liver tissue (NCT) specimens. Nine free fatty acids and 34 phospholipids were tentatively identified according to their extract masses and/or tandem mass spectra. With the help of statistical methods, 7 free fatty acids and 10 phospholipids were distributed differently in 3 types of liver tissue specimens (95% confidence interval). The box plots showed these characterized lipid metabolites varied in PT, HCC, and NCT. Compared with PT and NCT, the upregulations of four common fatty acids FA 18:0, FA 20:4, FA 16:0, and FA 18:1, together with phospholipids PC 36:1, PE 38:3, PE (18:0/20:4), PA (O-36:1), PC (32:1), PC 32:0, PE 34:0, and PC (16:0/18:1), were found in HCC specimens. The sensitivity and specificity of the established statistic model for real-time HCC tumor diagnosis were 100% and 90.5%, respectively. This study demonstrated that the described REIMS technique is a potential method for rapid lipidomic analysis and characterization of HCC tumor tissue.

Characteristics and potential malignancy of colorectal juvenile polyps in adults: a single-center retrospective study in China.

BACKGROUND: Colorectal juvenile polyps are rare and generally considered benign in adults. Carcinogenesis or neoplastic changes are rarely mentioned in the literature. We systematically evaluated the characteristics and potential malignancy of colorectal juvenile polyps in adults. METHODS: We retrospectively reviewed the medical records of 103 adults diagnosed with colorectal juvenile polyps from September 2007 to May 2020 at our hospital. The characteristics, endoscopic findings, occurrence of intraepithelial neoplasia, carcinogenesis and diagnostic value of chicken skin mucosa (CSM) were analyzed. RESULTS: The average age of patients with juvenile polyps was 43.2 years (range, 19 to 78 years). A total of 101 patients (101/103, 98.1%) had a single juvenile polyp, and two patients had multiple polyps (107 polyps in total). Polyp sizes ranged from 0.5 to 5 cm. One (1/107, 0.9%) juvenile polyp was cancerous, and 7 (7/107, 6.5%) developed low-grade intraepithelial neoplasia. Neoplasia and cancerization did not appear in the two patients with multiple polyps. A 27-year-old female had a 2-cm polyp with well-differentiated adenocarcinoma in the mucosa in the sigmoid colon with erosion on the surface. CSM was observed adjacent to 17 polyps, which were all located in the rectum and sigmoid colon, and one polyp showed low-grade intraepithelial neoplasia. CONCLUSIONS: Colorectal juvenile polyps occur in a wide range of locations and in variable sizes and numbers. These polyps are solitary in most patients and have neoplastic potential. CSM is not a tumorigenic marker in colorectal juvenile polyps and usually occurs in the distant colorectum. Colorectal juvenile polyps in adults may progress from low-grade intraepithelial neoplasia to high-grade intraepithelial neoplasia and then to carcinoma and should be treated when discovered and regularly followed as colorectal adenomas.

User-specific power level allocation optimization for OFDM-NOMA in a multi-user RoF system.

In this Letter, we propose a digital signal processing (DSP) -aided technique to optimize the power ratio among users for orthogonal frequency division multiplexing (OFDM) -based non-orthogonal multiple access (NOMA) in an integrated optical fiber and millimeter wave (mmWave) wireless communication system. In this way, a central or distributed unit can leverage the proposed techniques to maintain the uniformity of the signal-to-noise ratios (SNRs) among subcarriers without requiring any channel information feedback. The proposed mechanism can facilitate the power allocation management by treating all subcarriers equally as an independent channel. As an illustration, multiple NOMA scenarios, in which a near user with 10 km fiber transmission and far user with either longer fiber distance or additional wireless propagation, are experimentally investigated. Experimental results demonstrate that when the conventional OFDM-NOMA without the proposed DSP-aided technique is used, the optimal power ratios vary rapidly when the subcarrier quality index changes due to high-frequency fading in a mmWave radio over fiber (RoF) system, whereas, by using the proposed techniques, including both orthogonal circulant matrix transform and discrete Fourier transform, the optimal power ratios on all effective subcarriers are optimized at the same level and the users' performance is significantly improved.

Low-complexity equalizer with a hybrid decision scheme for 50 Gb/s/λ PAM4-PON using a low-cost 10 G receiver.

In this Letter, we experimentally demonstrate a 50Gb/s/λ four-level pulse amplitude modulation-based passive optical network system with a 10 G class receiver. A memory polynomial equalizer (MPE) combined with a decision feedback equalizer (DFE) is applied to eliminate channel distortions in the system. To further improve the performance of the MPE-DFE, for the first time, to the best of our knowledge, a low-complexity hybrid decision scheme (HDS) is proposed, which consists of single-symbol decision (SSD) and multi-symbol decision (MSD). The SSD is exactly the conventional hard decision based on minimum Euclidean distance, whereas MSD is based on a simplified maximum likelihood detection principle with M-algorithm. In terms of complexity, MSD requires 19.1% more multiplications than SSD, but the symbol number of MSD only accounts for less than 20% of the total signal frame when the received optical power is greater than -27dBm. Experimental results show that the proposed MPE-DFE with HDS achieves a 0.7 dB and 1.3 dB sensitivity gain compared with conventional SSD, and up to 35.4 dB and 31.4 dB link power budget, regarding the forward error correction threshold of 10-2 and 10-3, respectively.

Proactive real-time interference avoidance in a 5G millimeter-wave over fiber mobile fronthaul using SARSA reinforcement learning.

We propose and experimentally demonstrate a proactive real-time interference avoidance scheme using SARSA reinforcement learning (RL) in a millimeter-wave over a fiber mobile fronthaul system. The RL consists of three core factors, including state, action, and reward. The state is defined as a discretized value from the center frequency, the left, right, and center sub-EVM of the signal. We use five actions to shift the signal frequency in the proposed scheme, which is -20, -10, 0, 10, and 20 MHz, for the RL agent to choose the action to avoid the dynamic interference. For the agent to learn from the experience, the reward is defined as the log value of BER difference between the past and the present state. The RL-based approach is an online learning algorithm, which can learn in real time based on environmental feedback. Besides, the agent can learn from past experience owing to the Q-value table, which makes it act intelligently when facing a similar situation again. We verify the capability of the proposed scheme under both fixed and dynamic interference scenarios. The agent demonstrates an efficient intelligent mechanism to avoid the interference, which provides a promising solution for proactive interference mitigation in the 5 G mobile fronthaul network.

Non-iterative blind linearization algorithm for DML-based multi-IF-over-fiber mobile fronthaul systems.

We propose and experimentally demonstrate a novel digital post-linearization algorithm for the mobile fronthaul system employing bandwidth-efficient multiple intermediate frequency-over-fiber technology and a low-cost directly-modulated laser (DML). The proposed linearization algorithm is distinguished for blind adaption, the absence of training signal, or prior knowledge of the transmission channel. Particularly, it provides a closed-form solution for the estimation of optimal linearizer coefficients, leading to a non-iterative mode without convergence restrictions. In our experiments, one and nine 200 MHz 64-QAM OFDM IF signals (or channels) are transmitted over a 10 km single-mode fiber link using a DML. In both cases (one and nine IF channels), the linearization performance of the proposed algorithm is experimentally validated in terms of the reduction (>8 dB) of the adjacent channel leakage ratio, decrease (>10 dB) of error vector magnitude (EVM), and an increase (>9 dB) of EVM-compliant input RF power range.

Amycolatopsis panacis sp. nov., isolated from Panax notoginseng rhizospheric soil.

A novel Gram-positive bacterium, designated strain YIM PH21725T, was isolated from a sample of rhizospheric soil of Panaxnotoginseng cultivated in Anning, Yunnan. The strain contained meso-diaminopimelic acid in the cell-wall peptidoglycan. The main fatty acids identified were C17 : 0, iso-C15 : 0, iso-C16 : 0 and C16 : 0. The main menaquinone was MK-9 (H4). The polar lipids included phosphatidylethanolamine, diphosphatidylglycerol, phosphatidylinositol mannoside, phosphatidylinositol, phospholipids and phospholipids of an unidentified structure containing glucosamine. The G+C content of genomic DNA was 69.43 mol%. On the basis of its 16S rRNA gene sequence, strain YIM PH21725T should belong to the genus Amycolatopsis, and was closely related to Amycolatopsis sulphurea DSM 46092T (98.57 %), Amycolatopsis jejuensis JCM13280T (97.27 %), Amycolatopsis jiangsuensis KCTC 19885T (96.88 %) and Amycolatopsis ultiminotia JCM 16989T (96.8 %). The phenotypic, chemotaxonomic, phylogenetic and digital DNA-DNA hybridization results clearly indicated that strain YIM PH21725T represents a novel species of the genus Amycolatopsis, for which the name Amycolatopsispanacis sp. nov. is proposed. The type strain is YIM PH21725T (=CCTCC AA 2017044T=KCTC 49031T=DSM 105902T).

RF power fading mitigation for an IMDD multicarrier LR-PON.

In an intensity-modulation direct-detection (IMDD) orthogonal frequency division multiplexing (OFDM) signal format, radio frequency (RF) power fading produces non-uniform receiving performance among the subcarriers due to chromatic dispersion. Hence each subscriber experiences distinct quality of service (QoS) in conventional frequency division multiple access (FDMA). In this paper, a multicarrier code division multiple access (MC-CDMA) signal along with multicode interference (MCI) cancellation process is proposed and experimentally demonstrated to enhance the receiving performance in an IMDD long reach passive optical network (LR-PON). With the proposed scheme, the receiving performance of each subcarrier can be equalized so that a universal transmitter design at central office (CO) can support all the subscribers with their locations ranging from back-to-back to 100 km. Our experimental results also reveal that, even under 20 dB RF power fading, the proposed scheme can still provide over 21.7 dB power budget and only approximately 2 dB sensitivity deviation is observed in an IMDD LR-PON system.

Koningiopisins A-H, Polyketides with Synergistic Antifungal Activities from the Endophytic Fungus Trichoderma koningiopsis.

Eight new fungal polyketides named koningiopisins A-H (1-8) and four previously known polyketides (9-12) were isolated from the endophytic fungus Trichoderma koningiopsis YIM PH 30002. Their structures were elucidated using extensive spectral data interpretation, and their antifungal and synergistic activities were also evaluated. Koningiopisin C (3) exhibited in vitro antifungal activity against the phytopathogenic fungus Plectosphaerella cucumerina with an MIC of 16 µg/mL. Although the antifungal activities of single compounds were not obvious, a mixture of six compounds (4-9) exhibited potent synergistic antifungal activity against P. cucumerina with an MIC of 16 µg/mL, and the antifungal activity of the mixture of any two compounds with a 1:1 ratio was better than that observed from the individual compound. The synergistic biological activity of the metabolites in YIM PH 30002 demonstrates the significant ecological function of the endophyte for its host plant, and provides additional insight into the search for and development of agents for biological control.

Over 210 Gb/s PDM multiband DDO-OFDM LR-PON downstream with simple self-polarization diversity.

A simple polarization division multiplexed (PDM) multiband direct-detection optical orthogonal frequency division multiplexing (DDO-OFDM) long reach passive optical network (LR-PON) with net data rate over 210 Gb/s on single wavelength channel is proposed and experimentally demonstrated with self-polarization diversity technique. The proposed self-polarization diversity function is realized at a powered remote node with all passive components to achieve cost-effectiveness and simultaneously double both the channel capacity and subscriber numbers. Meanwhile, this architecture retains the simplicity of direct-detection single receiver-end without any hardware or software modification at the optical network units. The measured power penalty of the proposed PDM multiband DDO-OFDM LR-PON is 0.8 dB over 100 km transmission with respect to that of the ordinary single polarization scheme at a specified forward error correction threshold.

An experimental demonstration for carrier reused bidirectional PON system with adaptive modulation DDO-OFDM downstream and QPSK upstream signals.

A light source centralized bidirectional passive optical network (PON) system based on multiband direct-detection optical orthogonal frequency division multiplexing (DDO-OFDM) downstream and quadrature phase-shift keying (QPSK) upstream is experimentally demonstrated. By introducing a simple optical single-side band (SSB) filter at the optical network unit (ONU), all the desired signal bands will be immune from the deleterious signal-signal beating interference (SSBI) noise with only single-end direct-detection scheme. An adaptive modulation configuration is employed to enhance the entire downstream throughput which results in a 150-Gbps downstream data rate with a single optical carrier. In the upstream direction, by recycling the clean downstream optical carrier, a 12.5 Gb/s QPSK format with coherent receiving mechanism in central office is adopted for better receiving sensitivity and dispersion tolerance. With the power enhancement by the long-reach PON architecture, the downstream splitting ratio can achieve as high as 1:1024.

Predictive risk factors of cardiorespiratory abnormality for upper gastrointestinal endoscopy in Tibet.

BACKGROUND: To explore the predictive factors of cardiorespiratory abnormality in nonsedated patients at high altitude (HA) during upper gastrointestinal endoscopy (UGIE). METHODS: The pulse and saturated oxygen (SaO2) levels of 993 patients undergoing nonsedated UGIE in Tibet were monitored. Bivariate correlation and logistic regression were used to identify predictive risk factors for hypoxemia. RESULTS: The basal and minimum SaO2 levels during UGIE of the Tibetan group were significantly higher than those of the non-Tibetan group. The minimum SaO2 and maximum pulse in the HA transient residents groups were significantly higher than those in the HA usual residents groups. The incidences of hypoxemia and severe hypoxemia in the Tibetan groups were significantly lower than those of the non-Tibetan groups. Bivariate correlation and logistic regression showed that race, age (≥ 40 years), residence time in HA (<10 years), and basal SaO2 (<89 %) were sufficiently effective to predict hypoxemia. High-risk hypoxemic patients whose residence time in HA was <2 years were more prone to severe hypoxemia. The combination of the four variables showed superior performance in hypoxemia prognosis (AUC-ROC, 0.941; sensitivity, 83.7 %; specificity, 92.5 %) and severe hypoxemia prognosis (AUC-ROC, 0.968; sensitivity, 90.3 %; specificity, 98.0 %). CONCLUSIONS: Race, age, residence time in HA, and basal SaO2 of patients in HA were predictive variables for hypoxemia during UGIE. Non-Tibetan patients with age ≥ 40 years, residence time in HA <10 years, and basal SaO2 <89 % were prone to hypoxemia. Among those groups, patients whose residence time was <2 years were at higher risk for severe hypoxemia.

Two new steroids from an endophytic fungus Phomopsis sp.

Two new steroids, (14ß,22E)-9,14-dihydroxyergosta-4,7,22-triene-3,6-dione (1) and (5α,6ß,15ß,22E)-6-ethoxy-5,15-dihydroxyergosta-7,22-dien-3-one (2), together with three known steroids, calvasterols A and B (3 and 4, resp.), and ganodermaside D (5), were isolated from the culture broth of an endophytic fungus Phomopsis sp. isolated from Aconitum carmichaeli. The structures of these compounds were elucidated on the basis of spectroscopic analysis, and their inhibitory activities against six pathogenic fungi were evaluated. Most of the compounds showed moderate or weak antifungal activities in a broth-microdilution assay.

Surgery for Cronkhite-Canada syndrome complicated with intussusception: A case report and review of literature.

BACKGROUND: Cronkhite-Canada syndrome (CCS) is a rare nonhereditary disease with a syndrome of multiple gastrointestinal polyps, skin pigmentation, hair loss, and fingernail/toenail dystrophy. Intussusception is a serious condition with an occurrence rate of 5% in adults, which is mainly caused by intestinal tumors or other intestinal occupations. CASE SUMMARY: A 57-year-old woman was admitted to our hospital due to abdominal distension and pain for the past year. Her nausea and vomiting symptoms had been aggravated for the past month. Previous transoral enteroscopy results one year prior showed chronic erosive gastritis protuberans, duodenitis, and jejunitis. She had sparse body hair and brown pigmentation on the skin of her hands and bilateral anterior tibias. The nails of both hands were pale and lacked luster, and the fingernail of her ring finger was longitudinally cracked. Gastroscopy showed extensive diffuse polypoid lump changes in the gastric body and antrum, of 0.5-3 cm in size. Colonoscopy showed multiple polypoid mucosal bulges in the terminal ileum and multiple polyps (0.3-5 cm) throughout the colon. The patient was diagnosed with CCS and underwent partial excision of the polyps, but she refused hormone therapy. One month later, the patient complained of nausea and vomiting, accompanied by abdominal pain and inability to pass gas or stool. Contrast-enhanced computed tomography of the abdomen showed gastrointestinal polyposis and ileocecal intussusception. She underwent stomach and bowel surgery. CONCLUSION: CCS, as a rare disease with poor prognosis, should be treated aggressively. Systematic steroids, immunosuppressive agents, and biological agents were not applied; thus, the patient's symptoms quickly progressed, and intussusception occurred. She had to undergo surgery. Improved compliance may lead to a better prognosis.

Sesquiterpenoids from the endophytic fungus Trichoderma sp. PR-35 of Paeonia delavayi.

A new bisabolane-type sesquiterpene, trichoderic acid (1), and a new acorane-type sesquiterpene, 2ß-hydroxytrichoacorenol (2), along with three known compounds, cyclonerodiol (3), cyclonerodiol oxide (4), and sorbicillin (5), were isolated from the culture broth of Trichoderma sp. PR-35, an endophytic fungus isolated from Paeonia delavayi. Their structures were elucidated on the basis of their IR, MS, and 1D- and 2D-NMR analyses. The antibacterial and antifungal activities of 1-5 towards various types of bacteria and fungi were tested. Most of the compounds showed moderate or weak antimicrobial activities in an agar-diffusion assay.

Hemosuccus pancreaticus caused by gastroduodenal artery pseudoaneurysm associated with chronic pancreatitis: A case report and review of literature.

BACKGROUND: Hemosuccus pancreaticus is a very rare but severe form of upper gastrointestinal hemorrhage. The most common etiology is peripancreatic pseudoaneurysm secondary to chronic pancreatitis. Due to the rarity of gastroduodenal artery pseudoaneurysms, most of the current literature consists of case reports. Limited knowledge about the disease causes diagnostic difficulty. CASE SUMMARY: A 39-year-old man with a previous history of chronic pancreatitis was hospitalized due to hematemesis and melena for 2 wk, with a new episode lasting 1 d. Two weeks prior, the patient had visited a local hospital for repeated hematemesis and melena. Esophagogastroduodenoscopy indicated hemorrhage in the descending duodenum. The patient was discharged after the bleeding stopped, but hematemesis and hematochezia recurred. Bedside esophago-gastroduodenoscopy showed no obvious bleeding lesion. On admission to our hospital, he had hematemesis, hematochezia, left middle and upper abdominal pain, severe anemia, and elevated blood amylase. After admission, intermittent hematochezia was observed. Abdominal contrast-enhanced computed tomography revealed a pseudoaneurysm in the pancreas head. Angiography confirmed the diagnosis of gastroduodenal artery pseudoaneurysm. The pseudoaneurysm was successfully embolized with a coil and cyanoacrylate. No bleeding was observed after the operation. After discharge from the hospital, a telephone follow-up showed no further bleeding signs. CONCLUSION: Hemosuccus pancreaticus caused by gastroduodenal artery pseudoaneurysm associated with chronic pancreatitis is very rare. This diagnosis should be considered when upper gastrointestinal bleeding and abdominal pain are intermittent. Abdominal enhanced computed tomography and angiography are important for diagnosis and treatment.

Idiopathic mesenteric phlebosclerosis associated with long-term oral intake of geniposide.

BACKGROUND: Idiopathic mesenteric phlebosclerosis (IMP) is a rare disease, and its etiology and risk factors remain uncertain. AIM: To investigate the possible influence of Chinese herbal liquid containing geniposide on IMP. METHODS: The detailed formula of herbal liquid prescriptions of all patients was studied, and the herbal ingredients were compared to identify the toxic agent as a possible etiological factor. Abdominal computed tomography (CT) and colonoscopy images were reviewed to determine the extent and severity of mesenteric phlebosclerosis and the presence of findings regarding colitis. The disease CT score was determined by the distribution of mesenteric vein calcification and colon wall thickening on CT images. The drinking index of medicinal liquor was calculated from the daily quantity and drinking years of Chinese medicinal liquor. Subsequently, Spearman's correlation analysis was conducted to evaluate the correlation between the drinking index and the CT disease score. RESULTS: The mean age of the 8 enrolled patients was 75.7 years and male predominance was found (all 8 patients were men). The patients had histories of 5-40 years of oral Chinese herbal liquids containing geniposide and exhibited typical imaging characteristics (e.g., threadlike calcifications along the colonic and mesenteric vessels or associated with a thickened colonic wall in CT images). Calcifications were confined to the right-side mesenteric vein in 6 of the 8 patients (75%) and involved the left-side mesenteric vein of 2 cases (25%) and the calcifications extended to the mesorectum in 1 of them. The thickening of colon wall mainly occurred in the right colon and the transverse colon. The median disease CT score was 4.88 (n = 7) and the median drinking index was 5680 (n = 7). After Spearman's correlation analysis, the median CT score of the disease showed a significant positive correlation with the median drinking index (r = 0.842, P < 0.05). CONCLUSION: Long-term oral intake of Chinese herbal liquid containing geniposide may play a role in the pathogenesis of IMP.

Multifocal gastrointestinal epithelioid angiosarcomas diagnosed by endoscopic mucosal resection: A case report.

BACKGROUND: Epithelioid angiosarcoma is a vascular neoplasm that is among the most aggressive subtypes of sarcomas. Its involvement in the gastrointestinal tract is rare. We here report a case of multifocal gastrointestinal epithelioid angiosarcomas presenting with gastrointestinal bleeding. CASE SUMMARY: A 77-year-old woman was admitted because of melena and dizziness for three months. Gastroscopy and colonoscopy were performed, revealing a centrally ulcerated hemorrhagic polypoid lesion in the gastric body and multiple polypoid lesions with blood clots and hemorrhagic tendency in the colon. Histopathological examination of routine endoscopic biopsy samples showed inflammation in the gastric mucosa and tubular adenomas in the colon. The polypoid lesions were removed by endoscopic mucosal resection. Immunohistochemistry suggested a final diagnosis of epithelioid angiosarcomas. The patient refused chemotherapy and died after three months. CONCLUSION: Epithelioid angiosarcomas are characterized by highly vascular nature and tendency to cause gastrointestinal bleeding. Efforts to obtain histological findings using endoscopic mucosal resection are of great importance.

Synchronous colonic mucosa-associated lymphoid tissue lymphoma found after surgery for adenocarcinoma: A case report and review of literature.

BACKGROUND: Mucosa-associated lymphoid tissue (MALT) lymphoma is a subtype of non-Hodgkin lymphoma that is mainly involved in the gastrointestinal tract. The synchronous occurrence of colonic MALT lymphoma and adenocarcinoma in the same patient is extremely rare. We here report a case of synchronous colonic MALT lymphoma found on surveillance colonoscopy five months after surgery and chemotherapy for sigmoid adenocarcinoma. CASE SUMMARY: A 67-year-old man was admitted because of hematochezia for two months. Colonoscopy suggested a colonic tumor before hospitalization. Abdominal computed tomography (CT) revealed local thickening of the sigmoid colon. The patient underwent a left hemicolectomy with local lymph node dissection. The histopathology revealed moderately differentiated adenocarcinoma and partially mucinous adenocarcinoma. The pTNM stage was T3N1Mx. The patient received chemotherapy with six cycles of mFOLFOX6 after surgery. Colonoscopy was performed five months later and revealed single, flat, polypoid lesions of the colon 33 cm away from the anus. Subsequently, the patient underwent endoscopic mucosal resection for further diagnosis. The pathological diagnosis was MALT lymphoma. Positron emission tomography /CT suggested metastasis. The patient refused further treatment and died ten months later. CONCLUSION: Colonic MALT lymphoma may occur after surgery and chemotherapy for adenocarcinoma as a synchronous malignancy. Regular surveillance colonoscopy and careful monitoring after surgery are critical.