原发性小肠淋巴瘤临床病理分析23例
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毛永平, 杨云生, 王淑芳, 窦 艳
小肠淋巴瘤;病理特征;非霍奇金淋巴瘤毛永平,杨云生,王淑芳,窦艳.原发性小肠淋巴瘤临床病理分析23例.世界华人消化杂志2005;13(22)2711-27130引言,原发性小肠淋巴瘤临床病理分析23例
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毛永平, 杨云生, 王淑芳,窦艳, 解放军总医院消化科北京市 100853
通讯作者：毛永平,100853, 北京市复兴路28号, 解放军总医院消化科. maoyongping@yahoo.com.cn
电话：010-66937076
收稿日期：2005-06-28 接受日期：2005-07-08
Clinicopathological features of primary smallintestinal lymphoma: analysis of 23 cases
Yong-Ping Mao, Yun-Sheng Yang, Shu-Fang Wang, Yan Dou
Yong-Ping Mao, Yun-Sheng Yang, Shu-FangWang, Yan Dou, Department of Gastroenterology,General Hospital of Chinese PLA, Beijing 100853, China
Correspondence to:Yong-Ping Mao, Department of Gastroenterology, General Hospital of ChinesePLA, 28 Fuxing Road, Beijing 100853, China. maoyongping@yahoo.com.cn
Received: 2005-06-28 Accepted:2005-07-08
Abstract
AIM:To summarize the clinicopathologic features of the smallintestinal lymphoma.
METHODS:The clinical data, including the initial symptoms orsigns, involved locations, histological subtypes, and complications, of 23patients pathologically diagnosed with small intestinal lymphoma wereretrospectively analyzed.
RESULTS:The initial symptoms or signs included abdominal pain(13 cases, 56.5%), abdominal mass (6 cases, 26.1%), melena or hematochezia(2 cases, 8.7%), diarrhea (1 cases, 4.3%), and constipation (1 cases,4.3%). Five patients had B-symptom. The involved locations were ileocecum(7 cases, 30.4%), jejunum (7 cases, 30.4%), ileum (6 cases, 26.1%), andduodenum (1 cases, 4.3%). Multiple involvements appeared in 2 cases(8.7%). Hodgkin’s lymphoma was not found in all the patients. Of the 23cases, 19 were B-cell origin (82.6%) and 4 were T-cell origin (17.4%). Forhistological subtypes, 13 cases (56.5%) were diagnosed with diffuse largeB cell lymphoma, 6 cases (26.1%) with B-cell MALT lymphoma, 3 cases(13.0%) with diffuse T-cell lymphoma, and 1 cases (4.3%) withenteropathy-associated T cell lymphoma.
CONCLUSION:Abdominal pain is the most common symptom forsmall intestinal lymphoma, and the most frequently involved location isileocecum and jejunum ......
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