Koike Michiaki, Masuda Azuchi, Ichikawa Kunimoto, Shigemitu Ayako, Komatus Norio
Department of Hematology, Juntendo University Shizuoka Hospital 1129 Nagaoka Izunokunishi city, Shizuoka, Japan.
Department of Hematology, Juntendo University 1129 Nagaoka Izunokunishi city, Shizuoka, Japan.
Int J Clin Exp Pathol. 2014 Jun 15;7(7):4479-83. eCollection 2014.
Plasmablastic lymphoma (PBL) is a rare B-cell neoplasm with an aggressive clinical behavior that predominantly occurs in the oral cavity of human immunodeficiency virus (HIV)-positive patients. HIV-negative PBL has not been extensively reported. A 65-year-old female presented with anemia, who was HIV-negative. Gastrointestinal fiberscope (GIF), and colon fiberscope (CF) were performed. However, we could not detect the bleeding sites. We detected the tumor by capsule endoscopy, and obtained the tumor cells from the duodenal and jejunal sites. The neoplastic cells were diffusely positive for CD56, epithelial membrane (EMA), CD4, λ, and EBV-encoded RNA1 (EBER1) and partially positive for CD138 and CD79a. This patient was diagnosed as PBL. The small intestine is a rare extra-oral site of involvement in PBL patients, and only four cases in HIV-negative patients have been reported.
浆母细胞淋巴瘤(PBL)是一种罕见的B细胞肿瘤,具有侵袭性临床行为,主要发生在人类免疫缺陷病毒(HIV)阳性患者的口腔。HIV阴性的PBL尚未有广泛报道。一名65岁的HIV阴性女性患者出现贫血症状。进行了胃肠纤维内镜(GIF)和结肠纤维内镜(CF)检查,但未发现出血部位。通过胶囊内镜检测到肿瘤,并从十二指肠和空肠部位获取肿瘤细胞。肿瘤细胞CD56、上皮膜抗原(EMA)、CD4、λ和EBV编码RNA1(EBER1)弥漫性阳性,CD138和CD79a部分阳性。该患者被诊断为PBL。小肠是PBL患者罕见的口腔外受累部位,HIV阴性患者中仅报道过4例。