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肠病型 T 细胞淋巴瘤致小肠穿孔 1 例。

Case of small bowel perforation due to enteropathy-type T-cell lymphoma.

机构信息

Department of Surgery, College of Medicine, Chung-Ang University, Seoul, Korea.

出版信息

Yonsei Med J. 2009 Dec 31;50(6):859-61. doi: 10.3349/ymj.2009.50.6.859. Epub 2009 Dec 18.

Abstract

Enteropathy-type T-cell lymphoma (ETTL) is a rare disease with a poor prognosis. According to the World Health Organization (WHO) classification, it is a subtype of the peripheral T-cell lymphomas. This disease is associated with gluten-sensitive enteropathy, has a high risk of intestinal perforation and obstruction, and is refractory to chemotherapeutic treatment. We report the case of a 73-year-old woman who was diagnosed with enteropathy-type T-cell lymphoma of the small intestine, which was positive for the markers of cytotoxic T cells, CD3, CD8, and CD56, on immunohistochemical staining after resection of the perforated terminal ileum.

摘要

肠病型 T 细胞淋巴瘤(ETTL)是一种预后不良的罕见疾病。根据世界卫生组织(WHO)的分类,它是外周 T 细胞淋巴瘤的一种亚型。这种疾病与麸质敏感性肠病有关,有发生肠穿孔和梗阻的高风险,并且对化疗治疗有抗性。我们报告了一例 73 岁女性的病例,她在切除穿孔的末端回肠后,免疫组织化学染色显示为细胞毒性 T 细胞标志物阳性,包括 CD3、CD8 和 CD56。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b5/2796418/f0cd6aed8344/ymj-50-859-g001.jpg

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