Sasaki Yasuhiro, Kemuriyama Kohei, Sasaki Shinichi, Orino Kimito, Tozawa Kasumi, Hirano Yutaka
Dept. of Surgery, Yuri Kumiai General Hospital.
Gan To Kagaku Ryoho. 2021 Sep;48(9):1157-1159.
A 77-year-old woman was admitted to our hospital because of right lower abdominal pain. CT revealed tumors in the ileum and uterine cervix. After a gynecological biopsy of the uterine tumor, we diagnosed Stage Ⅳ diffuse large B-cell lymphoma. We treated her with R-THPCOP chemotherapy. On day 8 after the first chemotherapy, she developed perforated peritonitis, and an emergency partial ileum resection was performed. Histopathologically, viable cells were not found in the resected intestine. Chemotherapy was resumed on postoperative day 21, and she achieved a complete response 8 months after the surgery. Gastrointestinal malignant lymphoma is sometimes reported in cases requiring emergency surgery. Therefore, information sharing between hematologist and surgeon is recommended.
一名77岁女性因右下腹痛入院。CT显示回肠和子宫颈有肿瘤。对子宫肿瘤进行妇科活检后，我们诊断为Ⅳ期弥漫性大B细胞淋巴瘤。我们用R-THPCOP化疗方案对她进行治疗。首次化疗后第8天，她发生了穿孔性腹膜炎，遂进行了急诊部分回肠切除术。组织病理学检查显示，切除的肠段中未发现存活细胞。术后第21天恢复化疗，术后8个月她达到了完全缓解。胃肠道恶性淋巴瘤有时在需要急诊手术的病例中被报道。因此，建议血液科医生和外科医生之间进行信息共享。
