Bahari A, Jahantigh M, Mashhadi A, Bari Z, Bari Ar
Department of Gastroenterology, Mashhad University of Medical Sciences, Zahedan, Iran.
Iran Red Crescent Med J. 2012 Oct;14(10):669-75. Epub 2012 Oct 30.
Plasmablastic lymphoma (PBL) is a relatively new entity, classified by WHO as a rare variant of diffuse large B cell lymphoma. The present case report introduces a 17 year old girl with chronic diarrhea, abdominal pain, intra-abdominal venous thromboses, ascites, mesenteric lymphadenopathies and small intestinal polyposis, the pathologic and immunohistochemistric examinations of the polypoid lesions were in favor of PBL. Numerous cases of PBL have been reported, but to our knowledge, this is the first report of PBL presenting as small intestinal polyposis.Among lymphomas, only mantle cell lymphoma and follicular cell lymphoma have been previously reported to cause intestinal polyposis. This report introduces Plasmablastic lymphoma, a rare variant of diffuse large B cell lymphoma, as a possible cause of small intestinal polyposis.
浆母细胞淋巴瘤(PBL)是一种相对较新的疾病实体,世界卫生组织将其归类为弥漫性大B细胞淋巴瘤的一种罕见变体。本病例报告介绍了一名17岁女孩,她患有慢性腹泻、腹痛、腹腔内静脉血栓形成、腹水、肠系膜淋巴结病和小肠息肉病,息肉样病变的病理和免疫组化检查结果支持PBL的诊断。此前已报道过许多PBL病例,但据我们所知,这是首例表现为小肠息肉病的PBL报告。在淋巴瘤中,此前仅有套细胞淋巴瘤和滤泡细胞淋巴瘤被报道可导致肠道息肉病。本报告介绍了浆母细胞淋巴瘤,一种弥漫性大B细胞淋巴瘤的罕见变体,它可能是小肠息肉病的病因。