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以肠狭窄为表现的原发性胃肠道滤泡性淋巴瘤

Primary Gastrointestinal Follicular Lymphoma Presenting With Bowel Stenosis.

作者信息

Suzuki Hiroto, Hamada Yasuhiko, Tanaka Kyosuke, Horiki Noriyuki, Nakagawa Hayato

机构信息

Department of Gastroenterology and Hepatology, Mie University Hospital, Tsu, JPN.

出版信息

Cureus. 2022 Jan 15;14(1):e21278. doi: 10.7759/cureus.21278. eCollection 2022 Jan.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b36/8843071/0df407897492/cureus-0014-00000021278-i01.jpg

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