Vadalà G, Salice M, L'Anfusa G, Caragliano P, Vadalà F, Mangiameli A
Università degli Studi, Catania Istituto di Chirurgia d'Urgenza e Pronto Soccorso.
Minerva Chir. 1995 Nov;50(11):963-6.
Non-Hodgkin lymphoma of the ileum accounts for some 3% of all extranodal onset lymphoma and 20% of gastrointestinal lymphoma given that the ileum is more frequently affected than the jejunum and duodenum. The large majority of primary extranodal lymphomas present a diffuse histological structure and in particular involve the cervico-fascial and gastrointestinal regions. Moreover, it is not uncommon to find an association between gastroenteric involvement and Waldeyer's ring (cervico-fascial region). Primary intestinal involvement may not present specific symptoms and remain silent for some time. It is manifested by the onset of complications caused by occlusion and perforation. Two cases of ileal lymphoma were treated at the Institute of Emergency Surgery of Catania University between 1992 and 1993. They were complicated by intestinal perforation and occlusion respectively. Both patients underwent emergency intestinal resection. Surgery represents the elective treatment for primary forms, followed by polychemotherapy and radiotherapy. Prognosis depends on the spread of disease and the hystotype. The administration of NTP and somatopstatin resulted in a shorter postoperative period with fewer surgical complications.
回肠非霍奇金淋巴瘤约占所有结外起病淋巴瘤的3%，占胃肠道淋巴瘤的20%，因为回肠比空肠和十二指肠更常受累。绝大多数原发性结外淋巴瘤呈现弥漫性组织学结构，尤其累及颈面部和胃肠道区域。此外，胃肠道受累与瓦尔代尔环（颈面部区域）之间存在关联并不罕见。原发性肠道受累可能不出现特定症状，并在一段时间内保持隐匿。它表现为由梗阻和穿孔引起的并发症的发作。1992年至1993年间，卡塔尼亚大学急诊外科研究所治疗了两例回肠淋巴瘤。它们分别并发肠穿孔和梗阻。两名患者均接受了急诊肠切除术。手术是原发性病例的首选治疗方法，随后进行多药化疗和放疗。预后取决于疾病的扩散和组织类型。给予NTP和生长抑素可缩短术后病程，减少手术并发症。
