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[一例幽门螺杆菌阴性患者经幽门螺杆菌根除治疗后直肠MALT淋巴瘤消退]

[Regression of MALT lymphoma of the rectum after Helicobacter pylori eradication therapy in a patient negative for Helicobacter pylori].

作者信息

Nomura Eiki, Uchimi Kiyoshi, Abue Makoto, Kon Hiroyuki, Noguchi Tetsuya, Suzuki Shinichi, Suzuki Masaki, Onodera Hiroyoshi, Tateno Hiroo, Ota Yasunori

机构信息

Department of Gastroenterology, Miyagi Cancer Center, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2010 Sep;107(9):1466-73.

Abstract

A 53-year-old woman was referred to our hospital for further examination of a rectal polypoid lesion. Colonoscopy revealed a submucosal tumor in the rectum (Ra) and a diagnosis of MALT lymphoma was made on the histological examination of the biopsy specimens and Southern blot analysis of the immunoglobulin heavy chain gene rearrangement. Although the patient was negative for Helicobacter pylori, H. pylori eradication therapy was performed. Colonoscopy 3 months after the eradication therapy showed disappearance of the rectal tumor. H. pylori eradication appears to be a useful treatment for not only H. pylori-positive colonic MALT lymphoma but H. pylori-negative colonic MALT lymphoma.

摘要

一名53岁女性因直肠息肉样病变被转诊至我院进一步检查。结肠镜检查发现直肠有一个黏膜下肿瘤(Ra),经活检标本的组织学检查和免疫球蛋白重链基因重排的Southern印迹分析,诊断为黏膜相关淋巴组织(MALT)淋巴瘤。尽管该患者幽门螺杆菌检测为阴性,但仍进行了幽门螺杆菌根除治疗。根除治疗3个月后的结肠镜检查显示直肠肿瘤消失。幽门螺杆菌根除似乎不仅对幽门螺杆菌阳性的结肠MALT淋巴瘤,而且对幽门螺杆菌阴性的结肠MALT淋巴瘤都是一种有效的治疗方法。

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