Gavriilidis Paschalis, Christoforidou Barbara, Michalopoulou Ilektra, Nikolaidou Anastasia
Department of Pathology, Theageneio Anticancer Hospital, Thessaloniki, Greece.
BMJ Case Rep. 2013 Jun 3;2013:bcr2013009052. doi: 10.1136/bcr-2013-009052.
Primary gastrointestinal non-Hodgkin lymphomas (NHL) account for about 0.9% of all gastrointestinal tract tumours. They are usually associated with ulcerative colitis, Crohn's disease, previous radiotherapy, renal transplantation and AIDS. We present a 36-year-old immunocompetent man, previously well with abdominal pain, weight loss and palpable mass in the right iliac fossa. A CT scan of the abdomen showed a thickening of the terminal ileum and the caecum with characteristic aneurysmal luminal dilation. Given the patient's presentation and radiology findings, a right hemicolectomy was performed. The suspected diagnosis of NHL, which was based on the imaging findings, was confirmed at histological analysis.
原发性胃肠道非霍奇金淋巴瘤（NHL）约占所有胃肠道肿瘤的0.9%。它们通常与溃疡性结肠炎、克罗恩病、既往放疗、肾移植和艾滋病有关。我们报告一名36岁免疫功能正常的男性，此前身体健康，出现腹痛、体重减轻以及右下腹可触及肿块。腹部CT扫描显示回肠末端和盲肠增厚，伴有特征性的动脉瘤样管腔扩张。鉴于患者的临床表现和影像学检查结果，实施了右半结肠切除术。基于影像学检查结果怀疑为NHL，经组织学分析得以确诊。
