作者单位：315040 宁波，宁波市医疗中心李惠利医院消化内科(张秋波)；510120 广州，中山大学孙逸仙纪念医院消化内科(黄开红)

    肠道NK/T细胞淋巴瘤诊治一例

    张秋波黄开红

    【摘要】NK/T细胞淋巴瘤是恶性淋巴瘤中一类少见特殊类型，其恶性细胞来源于T淋巴细胞或自然杀伤(NK) 细胞。该病多原发于鼻腔，而原发于鼻以外的NK/T细胞淋巴瘤则称为鼻型NK/T细胞淋巴瘤。该文报告1例以发热、腹泻为初发症状的29岁男性肠道NK/T细胞淋巴瘤患者。肠道NK/T细胞淋巴瘤多起病较急，临床表现无明显特异性，以发热、腹痛、腹泻、便血为主，重者可因出现肠梗阻、穿孔等急腹症而就医。

    【关键词】NK/T细胞淋巴瘤；肠镜；手术；治疗

    DOI:10.3969/g.issn.0253-9802.2015.02.014

    通讯作者，黄开红，E-mail：ice_girl_sunny@163.com

    收稿日期：(2014-11-06)

    Intestinal primary NK/T cell lymphoma: one case reportZhangQiubo,HuangKaihong.DepartmentofGastroenterology,LihuiliHospitalofNingboMedicalCenter,Ningbo315040,China

    Correspondingauthor，HuangKaihong,E-mail:ice_girl_sunny@163.com

    Abstract【】NK/T cell lymphoma is a rare and specific type of malignant lymphoma, arising from T lymphocyte of or natural killer (NK) cells. It mainly occurs in the nasal cavity. Nasal NK/T cell lymphoma was defined as the NK/T cell lymphoma not located in the nasal cavity. We reported a 29-year-old man with intestinal primary NK/T cell lymphoma manifested as fever and diarrhea. Intestinal primary NK/T-cell lymphoma is characterized as acute onset without apparent specific symptoms. It presents with fever, abdominal pain, diarrhea and hemafecia, which probably lead to intestinal obstruction and perforation. ......