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无症状性回肠套叠：边缘区B细胞淋巴瘤中的罕见情况

Asymptomatic Ileal Intussusception: A Rare Twist in a Marginal B-cell Lymphoma.

作者信息

Hernández Guedea Marco A, Guajardo-Montemayor Adriana M, González Torres Luis A, Martínez-Segura Juan A, Muñoz-Maldonado Gerardo E

机构信息

General Surgery, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

Internal Medicine/Gastroenterology and Digestive Endoscopy, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.

出版信息

Cureus. 2025 Apr 14;17(4):e82267. doi: 10.7759/cureus.82267. eCollection 2025 Apr.

DOI:10.7759/cureus.82267
PMID:40376374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078657/
Abstract

A 75-year-old male patient with a history of type 2 diabetes, hypertension, interstitial pneumonitis, and gastroesophageal reflux disease underwent a screening colonoscopy that revealed a 3-4 cm ulcerated ileal tumor. Subsequent diagnostic evaluations, including endoscopy and contrast-enhanced CT, identified additional findings of chronic atrophic gastritis with and ileocecal intussusception. Histopathological analysis confirmed a marginal zone B-cell lymphoma with CD20+ expression and negative surgical margins following a right hemicolectomy. eradication was successful, and the patient remains asymptomatic with no evidence of recurrence. It can present atypically, including intussusception. Early detection and appropriate management are crucial for achieving favorable outcomes.

摘要

一名75岁男性患者，有2型糖尿病、高血压、间质性肺炎和胃食管反流病病史，接受了结肠镜筛查，发现一个3 - 4厘米的回肠溃疡性肿瘤。随后的诊断评估，包括内镜检查和增强CT，发现了慢性萎缩性胃炎和回盲部肠套叠的其他表现。组织病理学分析证实为边缘区B细胞淋巴瘤，CD20阳性表达，右半结肠切除术后手术切缘阴性。根除治疗成功，患者无症状，无复发迹象。它可表现为非典型症状，包括肠套叠。早期检测和适当管理对于取得良好结果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/047492510464/cureus-0017-00000082267-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/86b22794e574/cureus-0017-00000082267-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/412674e8165a/cureus-0017-00000082267-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/3171321f6577/cureus-0017-00000082267-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/047492510464/cureus-0017-00000082267-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/86b22794e574/cureus-0017-00000082267-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/412674e8165a/cureus-0017-00000082267-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/3171321f6577/cureus-0017-00000082267-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01f2/12078657/047492510464/cureus-0017-00000082267-i04.jpg

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本文引用的文献

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Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue of the ileum in an adult presenting with intussusception: a case report and literature review.一名成年患者因肠套叠就诊，回肠黏膜相关淋巴组织结外边缘区淋巴瘤：病例报告及文献复习
Front Oncol. 2024 Jun 11;14:1395144. doi: 10.3389/fonc.2024.1395144. eCollection 2024.
2
Marginal zone lymphoma: 2023 update on diagnosis and management.边缘区淋巴瘤：2023年诊断与管理更新
Am J Hematol. 2023 Oct;98(10):1645-1657. doi: 10.1002/ajh.27058. Epub 2023 Aug 21.
3
Effectiveness of eradication in the treatment of early-stage gastric mucosa-associated lymphoid tissue lymphoma: An up-to-date meta-analysis.
早期胃黏膜相关淋巴组织淋巴瘤的根除治疗效果：一项最新的荟萃分析。
World J Gastroenterol. 2023 Apr 14;29(14):2202-2221. doi: 10.3748/wjg.v29.i14.2202.
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Small bowel intussusception from an underlying MALT Lymphoma: A double rarity case report.源于潜在黏膜相关淋巴组织淋巴瘤的小肠套叠：一例双重罕见病例报告。
Hematol Transfus Cell Ther. 2024 Jan-Mar;46(1):96-98. doi: 10.1016/j.htct.2022.08.010. Epub 2022 Nov 19.
5
Challenges in the diagnosis of marginal zone lymphoma with symptoms of small intestinal disease: a case report and scoping review of the literature.小肠疾病症状的边缘区淋巴瘤诊断挑战：一例报告及文献综述
J Gastrointest Oncol. 2022 Oct;13(5):2583-2607. doi: 10.21037/jgo-22-74.
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The 5th edition of the World Health Organization Classification of Haematolymphoid Tumours: Lymphoid Neoplasms.《世界卫生组织造血与淋巴组织肿瘤分类》第五版：淋巴肿瘤。
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J Med Life. 2018 Jul-Sep;11(3):187-193. doi: 10.25122/jml-2018-0035.
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