Suzuki Hiroto, Hamada Yasuhiko, Tanaka Kyosuke, Horiki Noriyuki, Nakagawa Hayato
Department of Gastroenterology and Hepatology, Mie University Hospital, Tsu, JPN.
Cureus. 2022 Jan 15;14(1):e21278. doi: 10.7759/cureus.21278. eCollection 2022 Jan.
Primary follicular lymphomas of the small bowel generally present with small whitish nodules and masses or polyp-like lesions; cases with other morphologies are extremely rare. We experienced a case of primary follicular lymphoma that presented with small bowel stenosis. The lesion needed to be differentiated from other causes, such as bowel tuberculosis, non-steroidal anti-inflammatory drug-related ulcers, Crohn's disease, small bowel ischemia, trauma, and idiopathic bowel stenosis, but endoscopic biopsies did not result in a definite diagnosis. Therefore, the lesion was surgically resected and, consequently, a diagnosis of follicular lymphoma of the small bowel was finally made. We report the characteristics and macroscopic findings of follicular lymphoma of the small bowel along with a review of relevant literature.
小肠原发性滤泡性淋巴瘤通常表现为白色小结节、肿块或息肉样病变;其他形态的病例极为罕见。我们遇到一例表现为小肠狭窄的原发性滤泡性淋巴瘤病例。该病变需要与其他病因相鉴别,如肠结核、非甾体抗炎药相关溃疡、克罗恩病、小肠缺血、创伤和特发性肠狭窄,但内镜活检未能得出明确诊断。因此,对该病变进行了手术切除,最终确诊为小肠滤泡性淋巴瘤。我们报告小肠滤泡性淋巴瘤的特征和大体检查结果,并对相关文献进行综述。