Riemann J F, Mörl M, Hartwich G
Med Klin. 1976 May 21;71(21):917-21.
Eosinophilia occurs as a concomitant sign in multiple diseases of different etiology. Especially its occurrence in malignant diseases is still unknown. In three cases of primary sarcoma of the small intestine a constant eosinophilia is described. In one case this pronounced eosinophilia was present long before the final diagnose was made. The eosinophilic count was highest in the presence of clear symptoms of obstruction and normalized after surgical removal of the tumor. In one case a relapse was indicated by an increasing eosinophilic count. It is difficult to diagnose the sarcoma of the small intestine especially in its early stage because of the lack of typical symptoms. Concerning the described cases it is therefore pointed out, that in connection with undifferentiated abdominal complaints an obscure eosinophilia should be considered to be due to sarcomatous small bowel disease.
嗜酸性粒细胞增多在多种病因不同的疾病中作为伴随症状出现。尤其是其在恶性疾病中的发生情况仍不清楚。在三例原发性小肠肉瘤病例中,均描述有持续性嗜酸性粒细胞增多。在一例中,这种明显的嗜酸性粒细胞增多在最终诊断确立之前就已存在很长时间。嗜酸性粒细胞计数在出现明显梗阻症状时最高,在肿瘤手术切除后恢复正常。在一例中,嗜酸性粒细胞计数增加提示复发。由于缺乏典型症状,小肠肉瘤很难诊断,尤其是在早期阶段。因此,就所描述的病例指出,对于伴有未分化腹部症状的不明原因嗜酸性粒细胞增多,应考虑为肉瘤性小肠疾病所致。