肠道多发性淋巴瘤性息肉病

Intestinal multiple lymphomatous polyposis

多发性淋巴瘤性息肉病 (MLP)是胃肠道极罕见的恶性淋巴瘤，仅占我院胃肠道恶性肿瘤的 0.08％。本文报道 2例均为 50余岁男性，内镜检查发现十二指肠、末段回肠、结肠及直肠有多数 0.4～ 4cm直径息肉。病检发现为套细胞淋巴瘤。 1例手术切除后 14个月死亡， 1例正在行 CHOP方案化疗 4个月。本病应与淋巴性息肉，粘膜相关淋巴瘤、淋巴增生疾病及家族性息肉病相鉴别。

Multiple lymphomatous polyposis(MLP) was a very rare malignant lymphoma of the gastrointestinal tract,only accounted for 0.08％ of gastrointestinal malignancy in our hospital.In the article,the two patients,who were male in their sixth decade,were found multiple polyposis in the duodenum,ileum,colon and rectum on endoscopic examinations .The diameter of polyposis was from 0.4cm to 4cm.The biopsies demonstrated that they were mantle cell lymphoma.One of them died 14 months after operation,another had been treated with CHOP chemiotherapy for 4 months,The MLP should be distinguished from lymphoid polyposis,mucosa－ associated lymphoid tissue lymphoma,lymphoproliferative disease and familial polyposis.