Q It was found on CT. Can it turn malignant? What will happen going forward?
A Chronic mesenteritis itself is mostly benign in course and sometimes improves spontaneously over years. However, malignant lymphoma can show similar CT findings, so receiving an accurate differential diagnosis early is very important.
Detailed Answer
A significant number of patients with mesenteric panniculitis or sclerosing mesenteritis show a stable course even without treatment. However, in some cases abdominal pain persists or fibrosis progresses, leading to complications such as bowel obstruction. Above all, since it may be difficult to distinguish from malignant lymphoma on CT findings alone, additional evaluation such as biopsy or PET-CT may be needed.
Korean Medicine Clinic Perspective
After Western medicine confirms it is not a malignant disease, you can establish a long-term management plan using Korean medicine treatment to reduce chronic abdominal pain and the inflammatory response and maintain physical strength. Regular imaging follow-up must absolutely be maintained.
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