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一例系统性恶性淋巴瘤伴淋巴瘤样息肉病型肠道受累。

A case of systemic malignant lymphoma with intestinal involvement of lymphomatous polyposis type.

作者信息

Honda K, Mizuno M, Matsumoto T, Kuroki F, Hoshika K, Iida M, Sakurai T, Shimizu M

机构信息

Division of Gastroenterology, Kawasaki Medical School, Kurashiki, Japan.

出版信息

J Clin Gastroenterol. 1997 Jul;25(1):362-4. doi: 10.1097/00004836-199707000-00015.

Abstract

Multiple lymphomatous polyposis is a rare type of intestinal lymphoma characterized by non-Hodgkin's lymphoma of follicular mantle cell origin and extremely poor prognosis. We report a case of systemic lymphoma with the intestinal involvement of multiple lymphomatous polyposis. Although radiographic and endoscopic features of the case were compatible with multiple lymphomatous polyposis, histologic evidence suggested the diagnosis of diffuse large cell lymphoma rather than mantle cell lymphoma. Our case seems to be unique in its histologic findings and also in its prognosis, because the patient has been alive for more than 50 months after diagnosis.

摘要

多发性淋巴瘤性息肉病是一种罕见的肠道淋巴瘤,其特征为滤泡性套细胞起源的非霍奇金淋巴瘤,预后极差。我们报告一例系统性淋巴瘤伴多发性淋巴瘤性息肉病肠道受累的病例。尽管该病例的影像学和内镜特征与多发性淋巴瘤性息肉病相符,但组织学证据提示诊断为弥漫性大细胞淋巴瘤而非套细胞淋巴瘤。我们的病例在组织学表现及其预后方面似乎都很独特,因为该患者在诊断后已存活超过50个月。

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