Al Hendal A, Al Zamil A, Al Mishaan M
Department of Surgery, Sabah Hospital, Ministry of Health, Kuwait.
Gulf J Oncolog. 2008 Jul(4):67-70.
We report here a case of primary colorectal T-cell lymphoma of the cecum in a 30-year-old man. Patient presented with a history of abdominal pain, fever, vomiting and hematochezia. Clinical examination was unremarkable and colonoscopy showed an ulcerating mass in the colon. A right hemicolectomy with dissection of the paracolic lymph nodes was performed. The final histopathological examination showed a primary T- cell lymphoma of the cecum. Staging didn't show any involvement in any other sites of the body. Primary colon lymphoma is a rare gastrointestinal tumor that represents less than 1% of the gastrointestinal lymphomas. Peripheral T-cell lymphoma represents a relatively small proportion of lymphomas and has a lower prevalence in Western countries. The risk factors, clinical presentation, staging, prognostic factors and treatment modalities of extra-nodal lymphoma are discussed.
我们在此报告一例30岁男性的原发性盲肠结直肠T细胞淋巴瘤。患者有腹痛、发热、呕吐和便血病史。临床检查无异常，结肠镜检查显示结肠有一个溃疡性肿块。进行了右半结肠切除术并清扫结肠旁淋巴结。最终的组织病理学检查显示为原发性盲肠T细胞淋巴瘤。分期检查未发现身体其他部位有任何受累情况。原发性结肠淋巴瘤是一种罕见的胃肠道肿瘤，占胃肠道淋巴瘤的比例不到1%。外周T细胞淋巴瘤在淋巴瘤中所占比例相对较小，在西方国家的患病率较低。本文讨论了结外淋巴瘤的危险因素、临床表现、分期、预后因素和治疗方式。
