Department of Gastroenterology, Juntendo University Nerima Hospital, Japan.
Department of Gastroenterology, Juntendo University, Japan.
Intern Med. 2021 Sep 15;60(18):2947-2952. doi: 10.2169/internalmedicine.6837-20. Epub 2021 Mar 29.
Plasmablastic lymphoma (PBL) is a rare aggressive B-cell lymphoproliferative disorder that is strongly associated with immunodeficiency, most often with human immunodeficiency virus (HIV) and Epstein-Barr virus (EBV) infection, and that mainly occurs in the oral cavity. Although some clinical features can lead to a diagnosis, PBL in an extraoral site is difficult to suspect clinically in a patient who is HIV negative. The small intestine as a site of PBL has also been described very rarely. We herein present a rare case of PBL of the small intestine in an 85-year-old HIV- and EBV-negative male.
浆母细胞淋巴瘤(PBL)是一种罕见的侵袭性 B 细胞淋巴增生性疾病,与免疫缺陷密切相关,最常与人类免疫缺陷病毒(HIV)和 EBV 感染相关,主要发生在口腔。虽然一些临床特征可以导致诊断,但在 HIV 阴性的患者中,发生于口腔外部位的 PBL 临床诊断较为困难。PBL 也很少发生于小肠。本文报道了 1 例 85 岁 HIV 和 EBV 阴性男性的小肠 PBL 罕见病例。