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黏膜相关淋巴组织淋巴瘤是一种传染病吗?幽门螺杆菌及根除抗生素治疗的作用(综述)

Is mucosa-associated lymphoid tissue lymphoma an infectious disease? Role of and eradication antibiotic therapy (Review).

作者信息

Vlăduţ Cătălina, Ciocîrlan Mihai, Costache Raluca S, Jinga Mariana, Balaban Vasile D, Costache Daniel O, Diculescu Mircea

机构信息

Department of Gastroenterology, 'Prof. Dr. Agrippa Ionescu' Clinical Emergency Hospital, 011356 Bucharest, Romania.

The Fifth Clinical Department, 'Carol Davila' University of Medicine and Pharmacy, 050474 Bucharest, Romania.

出版信息

Exp Ther Med. 2020 Oct;20(4):3546-3553. doi: 10.3892/etm.2020.9031. Epub 2020 Jul 23.

Abstract

Mucosa-associated lymphoid tissue lymphoma (MALT) is seldom considered a diagnosis hypothesis in symptomatic patients. These lymphomas present as a main risk factor for chronic gastritis due to infection. leads to chronic inflammation, producing lymphoid tissue in the stomach mucosa (MALT) possibly leading to malignant transformation. Even though remains one of the most important factors in the development of MALT lymphoma, it is not mandatory in the evolution of MALT lymphoma since high-grade lymphomas present a lower prevalence of . The prevalence of is indirectly proportional with the progression into the gastric wall. Mucosal and submucosal MALT lymphomas have a higher prevalence of the bacteria. However, genetic factors remain a risk factor especially if eradication treatment fails. Even though a low percentage of MALT lymphomas are -negative, some respond to antibiotic eradication treatment. This can be explained either by the immunomodulatory effect of antibiotics or by other infectious sources such as and (small bowel lymphoma). Treatment in MALT gastric lymphoma was a breakthrough since it was the first time in oncology where tumours were cured by antibiotic therapy, leading us to wonder if MALT lymphomas are infectious disease or not?

摘要

黏膜相关淋巴组织淋巴瘤(MALT)在有症状的患者中很少被视为诊断假设。这些淋巴瘤是由于感染导致慢性胃炎的主要危险因素。感染导致慢性炎症,在胃黏膜中产生淋巴组织(MALT),可能导致恶性转化。尽管[此处原文缺失关键信息]仍然是MALT淋巴瘤发展的最重要因素之一,但在MALT淋巴瘤的演变过程中并非必需,因为高级别淋巴瘤的[此处原文缺失关键信息]患病率较低。[此处原文缺失关键信息]的患病率与向胃壁的进展呈间接比例关系。黏膜和黏膜下MALT淋巴瘤中该细菌的患病率较高。然而,遗传因素仍然是一个危险因素,尤其是在根除治疗失败的情况下。尽管低比例的MALT淋巴瘤为[此处原文缺失关键信息]阴性,但一些对抗生素根除治疗有反应。这可以通过抗生素的免疫调节作用或其他感染源如[此处原文缺失关键信息]和[此处原文缺失关键信息](小肠淋巴瘤)来解释。MALT胃淋巴瘤的治疗是一个突破,因为这是肿瘤学中首次通过抗生素治疗治愈肿瘤,这让我们思考MALT淋巴瘤是否是传染病?

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