胃黏膜相关淋巴组织淋巴瘤与 II 级肥胖：胃旁路手术作为一种治疗选择。

Gastric MALT lymphoma and grade II obesity: gastric bypass surgery as a therapeutic option.

机构信息

Hematology and Bone Marrow Transplantation Department, and Bariatric Surgery Department, Albert Einstein Hospital, São Paulo, Brazil.

出版信息

Obes Surg. 2011 Mar;21(3):407-9. doi: 10.1007/s11695-010-0122-2.

DOI:10.1007/s11695-010-0122-2

PMID:20390375

Abstract

Mucosa-associated lymphoid tissue (MALT) is the most common extranodal lymphoma, with one third of the cases occurring in the stomach. Surgical treatment is a possible option. This case report describes an obese woman (body mass index 46 kg/m2) seeking bariatric surgery, with elevated serum cholesterol and uric acid, negative for Helicobacter pylori but with a positive biopsy for MALT (immunohistochemistry), stage IA. She was submitted to a Roux-en-Y gastric bypass and gastric resection. Two months later, she had lost 20 kg and the MALT lymphoma was in complete remission.

摘要

黏膜相关淋巴组织（MALT）是最常见的结外淋巴瘤，其中三分之一的病例发生在胃部。手术治疗是一种可行的选择。本病例报告描述了一位肥胖女性（体重指数为 46kg/m2）寻求减重手术，她的血清胆固醇和尿酸升高，幽门螺杆菌检测阴性，但 MALT（免疫组化）阳性，分期为 IA 期。她接受了 Roux-en-Y 胃旁路和胃切除术。两个月后，她体重减轻了 20 公斤，MALT 淋巴瘤完全缓解。