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胃肠道淋巴增殖性疾病

Lymphoproliferative Disorders of the Gastrointestinal Tract.

作者信息

Skinnider Brian F

机构信息

From the Department of Pathology, Vancouver General Hospital, Vancouver, British Columbia, Canada.

出版信息

Arch Pathol Lab Med. 2018 Jan;142(1):44-52. doi: 10.5858/arpa.2016-0610-RA. Epub 2017 Aug 22.

Abstract

CONTEXT

  • The diagnosis of gastrointestinal lymphoproliferative disorders can be challenging because of the small size of biopsies and the wide spectrum of lymphoproliferative disorders that may be encountered.

OBJECTIVE

  • To review the spectrum of lymphoproliferative disorders involving the gastrointestinal tract, highlighting potential pitfalls.

DATA SOURCES

  • Peer-reviewed articles and clinical experience.

CONCLUSIONS

  • Interpretation of lymphoid infiltrates in gastrointestinal biopsies requires synthesis of morphologic, immunophenotypic, molecular genetic, and clinical information. Knowledge of indolent lymphoproliferative disorders that may mimic aggressive lymphomas will help in preventing misdiagnoses.
摘要

背景

由于活检组织样本较小以及可能遇到的淋巴增殖性疾病种类繁多,胃肠道淋巴增殖性疾病的诊断可能具有挑战性。

目的

回顾涉及胃肠道的淋巴增殖性疾病谱,强调潜在的陷阱。

数据来源

同行评审文章和临床经验。

结论

胃肠道活检中淋巴样浸润的解读需要综合形态学、免疫表型、分子遗传学和临床信息。了解可能模仿侵袭性淋巴瘤的惰性淋巴增殖性疾病将有助于防止误诊。

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