Tokunou Kazuhisa, Yamamoto Tatsuhito, Toshimitsu Hiroaki, Kitamura Yoshinori, Ando Seiichirou
Dept. of Digestive Surgery, Tsushimi Hospital.
Gan To Kagaku Ryoho. 2013 Nov;40(12):2056-8.
We report a case of mucosa-associated lymphoid tissue (MALT) lymphoma of the rectum in a 67-year-old woman who was admitted to our hospital owing to bowel abnormalities. Colonoscopic examination revealed a submucosal tumor (SMT) in the lower rectum. However, no malignancy was found on rectal mucosa biopsy. After providing informed consent, the patient underwent transanal surgery for the SMT. Rectal MALT lymphoma was diagnosed based on results of histological and immunohistochemical examinations. According to the Lugano International Conference classification system, the present case was classified as stage I MALT lymphoma. After the operation, Helicobacter pylori infection occurred, for which eradication therapy was performed, but no further complications or recurrence occurred.
我们报告一例67岁女性直肠黏膜相关淋巴组织(MALT)淋巴瘤病例,该患者因肠道异常入住我院。结肠镜检查发现直肠下段有一个黏膜下肿瘤(SMT)。然而,直肠黏膜活检未发现恶性肿瘤。在获得知情同意后,患者接受了SMT经肛门手术。根据组织学和免疫组化检查结果诊断为直肠MALT淋巴瘤。根据卢加诺国际会议分类系统,本病例被分类为I期MALT淋巴瘤。术后发生幽门螺杆菌感染,进行了根除治疗,但未出现进一步并发症或复发。