Arnaud O A, Macías J R, Morgante P E, Rapaport M, Ventura M H, Reyes Walker A C
Acta Gastroenterol Latinoam. 1982;12(1):61-74.
A case of multiple lymphomatous polyposis of the gastrointestinal tract is presented. The recent literature on this type of lymphoma is reviewed. Also summarized are the clinical findings, diagnostic procedures, current methods of treatment and prognosis of these patients. Diarrhea upon admission, lead us to a complete work up finally to the correct diagnosis. The lack of symptoms of this patient was in contrast with most of the cases reviewed, so the diagnosis was mainly based on the endoscopic findings (colonoscopy and esofago-gastro-duodenoscopy). It is emphasized the importance of repeated biopsies in case of negative ones, as it occurs in this patient, in which an endoscopic "polypectomy" from the recto-sigmoid area, provided enough material to the pathologist, for the diagnosis, after several "non-diagnostic" biopsies taken previously. Finally the therapy for this entity is updated, with special reference to quemotherapy and a list of drugs combination is given.
本文报告1例胃肠道多发性淋巴瘤性息肉病。回顾了关于此类淋巴瘤的近期文献。还总结了这些患者的临床发现、诊断程序、当前治疗方法及预后。患者入院时腹泻,最终经全面检查得以正确诊断。该患者缺乏症状,这与大多数已回顾病例不同,因此诊断主要基于内镜检查结果(结肠镜检查及食管-胃-十二指肠镜检查)。强调了在活检结果为阴性时重复活检的重要性,就像该患者的情况一样,此前多次“未确诊”活检后,从直肠乙状结肠区域进行的内镜“息肉切除术”为病理学家提供了足够的诊断材料。最后更新了该疾病的治疗方法,特别提及化疗并给出了药物联合清单。