Matsueda Katsunori, Toyokawa Tatsuya, Sakata Masahiro, Fujita Isao, Horii Jouichiro
Department of Gastroenterology, National Hospital Organization Fukuyama Medical Center, Japan.
Intern Med. 2018 Jun 15;57(12):1751-1755. doi: 10.2169/internalmedicine.0199-17. Epub 2018 Feb 9.
Mantle cell lymphoma (MCL) is a malignant lymphoma of the gastrointestinal tract that mostly presents as multiple lymphomatous polyposis (MLP); however, MLP with intussusception is rarely reported in MCL. Furthermore, a single protruding lesion with intussusception has never been reported in primary small intestinal MCL. A 70-year-old man presented with pain in the right lower abdomen. Computed tomography and colonoscopy revealed ileocecal intussusception. Ileocecal resection was performed. Histology and immunohistochemistry of the resected specimen showed MCL with a single protruding lesion. The patient was successfully treated with surgery alone and remains in complete remission at the three-year follow-up.
套细胞淋巴瘤(MCL)是一种胃肠道恶性淋巴瘤,大多表现为多发性淋巴瘤性息肉病(MLP);然而,MCL中伴有肠套叠的MLP很少见报道。此外,原发性小肠MCL中从未有过伴有肠套叠的单个突出病变的报道。一名70岁男性因右下腹痛就诊。计算机断层扫描和结肠镜检查显示回盲部肠套叠。进行了回盲部切除术。切除标本的组织学和免疫组织化学检查显示为伴有单个突出病变的MCL。该患者仅通过手术就成功治愈,在三年随访中仍处于完全缓解状态。