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升结肠黏膜相关淋巴组织淋巴瘤经内镜黏膜下剥离术成功切除

Mucosa-Associated Lymphoid Tissue Lymphoma of the Ascending Colon Successfully Removed With Endoscopic Submucosal Dissection.

作者信息

Petrousis Grigorios, Ignatova Simone, Xintara Maria, Vrakas Spyridon, Karapiperis Dimitrios

机构信息

Department of Internal Medicine, Section of Gastroenterology, Vrinnevi Hospital, Norrkoping, Sweden.

Department of Pathology, Linkopings University Hospital, Linkoping, Sweden.

出版信息

J Med Cases. 2023 Jul;14(7):255-259. doi: 10.14740/jmc4121. Epub 2023 Jul 31.

DOI:10.14740/jmc4121
PMID:37560550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10409539/
Abstract

Mucosa-associated lymphoid tissue (MALT) lymphoma is a type of non-Hodgkin lymphoma with characteristic histopathological features and can occur in various extranodal sites, including the gastrointestinal tract. While gastric MALT lymphoma has been extensively researched, primary lymphoma presentation in the colorectal mucosa is rare and lacks any association with infection. Furthermore, there are currently no standardized treatment guidelines for this condition. This report presents a rare case of primary MALT lymphoma that manifested as a broad-based polyp. The diagnosis was confirmed through histopathological and immunohistochemical examination, and the polyp was resected endoscopically with the endoscopic submucosal dissection technique.

摘要

黏膜相关淋巴组织(MALT)淋巴瘤是一种具有特征性组织病理学特征的非霍奇金淋巴瘤,可发生于包括胃肠道在内的各种结外部位。虽然胃MALT淋巴瘤已得到广泛研究,但原发性淋巴瘤在结直肠黏膜中的表现罕见,且与感染无任何关联。此外,目前尚无针对这种疾病的标准化治疗指南。本报告介绍了一例罕见的原发性MALT淋巴瘤,表现为广基息肉。通过组织病理学和免疫组织化学检查确诊,采用内镜黏膜下剥离术在内镜下切除息肉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/da11ad6408ac/jmc-14-255-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/64efdbc3848b/jmc-14-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/be782e7704b0/jmc-14-255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/da11ad6408ac/jmc-14-255-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/64efdbc3848b/jmc-14-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/be782e7704b0/jmc-14-255-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2be0/10409539/da11ad6408ac/jmc-14-255-g003.jpg

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本文引用的文献

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Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in the Gastrointestinal Tract in the Modern Era.现代胃肠道黏膜相关淋巴组织(MALT)淋巴瘤
Cancers (Basel). 2022 Jan 17;14(2):446. doi: 10.3390/cancers14020446.
2
Successful Endoscopic Resection of Primary Rectal Mucosa-Associated Lymphoid Tissue Lymphoma by Endoscopic Submucosal Dissection: A Case Report.内镜下黏膜下剥离术成功切除原发性直肠黏膜相关淋巴组织淋巴瘤:一例报告
Front Med (Lausanne). 2021 Sep 10;8:715256. doi: 10.3389/fmed.2021.715256. eCollection 2021.
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Ileo-colonic lymphoma: presentation, diagnosis, and management.
回肠结肠淋巴瘤:表现、诊断和治疗。
Curr Opin Gastroenterol. 2021 Jan;37(1):52-58. doi: 10.1097/MOG.0000000000000687.
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Cureus. 2020 Mar 27;12(3):e7438. doi: 10.7759/cureus.7438.
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MALT lymphoma of the colon: a clinicopathological review.结肠黏膜相关淋巴组织淋巴瘤:临床病理回顾。
J Clin Pathol. 2020 Jul;73(7):378-383. doi: 10.1136/jclinpath-2019-206377. Epub 2020 Feb 7.
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Successful Endoscopic Resection of Mucosa-Associated Lymphoid Tissue Lymphoma of the Colon.成功内镜切除结肠黏膜相关淋巴组织淋巴瘤
ACG Case Rep J. 2019 Oct 22;6(10):e00228. doi: 10.14309/crj.0000000000000228. eCollection 2019 Oct.
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Clinical features, treatment and outcomes of colorectal mucosa-associated lymphoid tissue (MALT) lymphoma: literature reviews published in English between 1993 and 2017.结直肠黏膜相关淋巴组织(MALT)淋巴瘤的临床特征、治疗及转归:1993年至2017年发表的英文文献综述
Cancer Manag Res. 2019 Sep 20;11:8577-8587. doi: 10.2147/CMAR.S214197. eCollection 2019.
8
Incidentally Discovered Extranodal Marginal Zone B-Cell Lymphoma of Mucosa-Associated Lymphoid Tissue in the Colon.偶然发现的结肠黏膜相关淋巴组织结外边缘区B细胞淋巴瘤
Case Rep Med. 2017;2017:1505706. doi: 10.1155/2017/1505706. Epub 2017 Dec 4.
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Endoscopic features and clinical outcomes of colorectal mucosa-associated lymphoid tissue lymphoma.结直肠黏膜相关淋巴组织淋巴瘤的内镜特征和临床转归。
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