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1例罕见的伴有肺转移的2型肠病相关T细胞淋巴瘤

An Unusual Case of Enteropathy-associated T-cell Lymphoma Type 2 with Pulmonary Metastasis.

作者信息

Bhatlapenumarthi Vineel, Patwari Anannya, Siddiqui Ahmad D

机构信息

Internal Medicine, Eastern Maine Medical Center, Bangor, USA.

Hematology and Oncology, St. Vincent Hospital, Worcester, USA.

出版信息

Cureus. 2019 Sep 20;11(9):e5714. doi: 10.7759/cureus.5714.

Abstract

Herein, we present a very rare case of enteropathy-associated T-cell lymphoma (EATL) type 2 with pulmonary metastasis which was biopsy-proven. This is a very rare type of lymphoma, and no case reports or studies of enteropathy-associated T-cell lymphoma with pulmonary metastatic disease were found in the literature review. This 64-year-old male, who presented with an acute abdomen, was found to have a perforation. Subsequent pathology of the resected specimen showed neoplastic cells consistent with EATL type 2. Four months post-diagnosis, the patient developed shortness of breath. Positron emission tomography (PET) scan revealed multiple metabolically active pulmonary nodules. A biopsy of the nodules was consistent with metastatic EATL type 2 involving the lungs.

摘要

在此,我们报告一例经活检证实的伴有肺转移的2型肠病相关T细胞淋巴瘤(EATL)的非常罕见病例。这是一种非常罕见的淋巴瘤类型,在文献综述中未发现有关伴有肺转移疾病的肠病相关T细胞淋巴瘤的病例报告或研究。这名64岁男性因急腹症就诊,发现有穿孔。切除标本的后续病理显示肿瘤细胞与2型EATL一致。诊断后四个月,患者出现呼吸急促。正电子发射断层扫描(PET)显示多个代谢活跃的肺结节。结节活检结果与累及肺部的转移性2型EATL一致。

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