Zhang Jiu-Cong, Wang Yong, Wang Xiu-Feng, Zhang Fang-Xin
Department of Gastroenterology, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou, People's Republic of China.
Onco Targets Ther. 2016 Feb 22;9:863-8. doi: 10.2147/OTT.S96745. eCollection 2016.
Enteropathy-associated T-cell lymphoma (EATL) is a rare gastrointestinal non-Hodgkin's lymphoma, originating from intraepithelial T-lymphocyte, which is specifically associated with celiac disease. EATL most commonly presents in the sixth and seventh decades of life. We report a unique case of type I EATL in the colon with liver metastasis, which was presented with nonspecific radiological findings and at a very young age (29 years old) compared with previously published data. We suggest that EATL should be regarded as part of differential diagnosis in any patient presenting with abdominal pain, diarrhea, weight loss, and malabsorption because delay in treatment can result in an irreversible clinical outcome.
肠病相关T细胞淋巴瘤(EATL)是一种罕见的胃肠道非霍奇金淋巴瘤,起源于上皮内T淋巴细胞,与乳糜泻密切相关。EATL最常见于60和70岁年龄段。我们报告了一例独特的结肠I型EATL伴肝转移病例,该病例表现出非特异性影像学特征,且与既往发表的数据相比发病年龄非常年轻(29岁)。我们建议,对于任何出现腹痛、腹泻、体重减轻和吸收不良的患者,都应将EATL视为鉴别诊断的一部分,因为治疗延迟可能导致不可逆转的临床后果。