Emge Drew Arthur, Bassuner Juri, Lewis Daniel J, Duvic Madeleine
Baylor College of Medicine, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Case Rep Dermatol. 2016 Nov 14;8(3):294-302. doi: 10.1159/000452326. eCollection 2016 Sep-Dec.
Extracutaneous involvement in mycosis fungoides (MF) carries a poor prognosis. Oral and gastrointestinal (GI) tract lesions are both rare locations of disease. We describe the clinical findings of one case with oral and GI MF complicated by perforation after systemic antineoplastic treatment, and review the relevant literature. The patient had a 1-year history of MF before development of tongue and palate tumors. He was treated with local electron beam radiation, but re-presented to the hospital after what was found to be small intestine perforation following systemic antineoplastic therapy. The case reveals key insights into the progression and complications of lymphomas with GI tract involvement.
蕈样肉芽肿(MF)的皮肤外受累预后较差。口腔和胃肠道(GI)病变都是罕见的疾病部位。我们描述了一例经全身抗肿瘤治疗后出现口腔和胃肠道MF并伴有穿孔的临床病例,并回顾相关文献。该患者在出现舌部和腭部肿瘤之前有1年的MF病史。他接受了局部电子束放疗,但在全身抗肿瘤治疗后因小肠穿孔再次入院。该病例揭示了胃肠道受累淋巴瘤进展和并发症的关键见解。