Owens Scott R
Department of Pathology, University of Michigan Medical School, M5224 Medical Science I, 1301 Catherine Street, Ann Arbor, MI 48109, USA.
Surg Pathol Clin. 2017 Dec;10(4):1021-1037. doi: 10.1016/j.path.2017.07.014.
The gastrointestinal tract is the most common extranodal site of involvement by lymphoma, with B-cell tumors outnumbering T-cell tumors by a wide margin. Diffuse large B-cell lymphoma is the most common lymphoid neoplasm involving the gastrointestinal tract; but a variety of other B- and T-cell neoplasms occur in the gastrointestinal organs, often with characteristic associations and/or manifestations. Although the diagnosis of gastrointestinal lymphomas can sometimes seem daunting to general pathologists, a knowledge of the most commonly encountered entities, in combination with a reasoned and pragmatic approach to the diagnostic workup, makes it possible to approach most cases with confidence.
胃肠道是淋巴瘤最常见的结外受累部位,其中B细胞肿瘤的数量远多于T细胞肿瘤。弥漫性大B细胞淋巴瘤是累及胃肠道最常见的淋巴样肿瘤;但胃肠道器官中也会出现多种其他B细胞和T细胞肿瘤,且常常伴有特征性的关联和/或表现。尽管胃肠道淋巴瘤的诊断有时可能让普通病理学家望而却步,但了解最常见的病变实体,并结合合理务实的诊断检查方法,就能有信心处理大多数病例。