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内镜下黏膜切除术与直肠黏膜相关淋巴组织淋巴瘤的治疗

Endoscopic mucosal resection and cure for rectal mucosa-associated lymphoid tissue lymphoma.

作者信息

Shah Rucha M, Kuo Vincent, Schwartz Armond

机构信息

Department of Gastroenterology, Methodist Dallas Medical Center, Dallas, Texas.

Department of Gastroenterology, Digestive Health Associates of Texas, Plano, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2020 Oct 28;34(2):305-306. doi: 10.1080/08998280.2020.1836939.

DOI:10.1080/08998280.2020.1836939
PMID:33678972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7901432/
Abstract

We present a case of negative rectal mucosa-associated lymphoid tissue (MALT) lymphoma found on colonoscopy done for colorectal cancer screening. The lesion was successfully removed with endoscopic mucosal resection alone, without concomitant antibacterial treatment. On surveillance exams, the patient has had a 5-year disease-free survival. While prior reports highlight use of multiple modalities, this is the only case we are aware of in which treatment with endoscopic mucosal resection alone without antimicrobial therapy led to disease-free survival at 5 years.

摘要

我们报告了一例在因结直肠癌筛查而行结肠镜检查时发现的阴性直肠黏膜相关淋巴组织(MALT)淋巴瘤病例。该病变仅通过内镜黏膜切除术就成功切除,未进行抗菌治疗。在随访检查中,患者已实现5年无病生存。虽然既往报告强调了多种治疗方式的使用,但这是我们所知的唯一一例仅通过内镜黏膜切除术且未进行抗菌治疗而实现5年无病生存的病例。

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本文引用的文献

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Rectal MALT lymphoma regression and anti-Helicobacter pylori therapy.直肠黏膜相关淋巴组织淋巴瘤消退与抗幽门螺杆菌治疗
QJM. 2018 Oct 1;111(10):737-738. doi: 10.1093/qjmed/hcy144.
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Primary Localized Esophageal Mucosa-associated Lymphoid Tissue Lymphoma Treated by Endoscopic Submucosal Dissection.经内镜黏膜下剥离术治疗的原发性局限性食管黏膜相关淋巴组织淋巴瘤
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Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma of the Colon: A Case Report and a Literature Review.结肠黏膜相关淋巴组织(MALT)淋巴瘤:一例报告及文献复习
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Treatment of low-grade gastric MALT lymphoma using Helicobacter pylori eradication.采用根除幽门螺杆菌治疗低度恶性胃黏膜相关淋巴组织淋巴瘤。
Vojnosanit Pregl. 2015 May;72(5):431-6. doi: 10.2298/vsp1505431g.
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A solitary rectal mucosa-associated lymphoid tissue (MALT) lymphoma.一例孤立性直肠黏膜相关淋巴组织(MALT)淋巴瘤。
BMJ Case Rep. 2010 Jul 21;2010:bcr0120102649. doi: 10.1136/bcr.01.2010.2649.
7
Helicobacter pylori-Negative Primary Rectal MALT Lymphoma: Complete Remission after Radiotherapy.幽门螺杆菌阴性的原发性直肠黏膜相关淋巴组织淋巴瘤:放疗后完全缓解
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Novel approach to treatment of rectal mucosa-associated lymphoid tissue lymphoma.直肠黏膜相关淋巴组织淋巴瘤的新型治疗方法。
BMJ Case Rep. 2011 Jan 27;2011:2969. doi: 10.1136/bcr.05.2010.2969.
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Regression of rectal mucosa-associated lymphoid tissue (MALT) lymphoma after antibiotic treatments.直肠黏膜相关淋巴组织(MALT)淋巴瘤经抗生素治疗后消退。
Pathol Int. 2010 Jun;60(6):438-42. doi: 10.1111/j.1440-1827.2010.02538.x.
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MALT lymphoma of the rectum, presenting with rectal prolapsus: a case report.以直肠脱垂为表现的直肠黏膜相关淋巴组织淋巴瘤:一例报告
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