AIM: To characterize the clinical, radiological, endoscopic and pathological features of intestinal tuberculosis (ITB) and primary small intestinal lymphoma (PSIL).
Synchronous gastric cancer and primary small intestinal lymphoma are extremely rare. A 49-year-old woman was referred to our hospital with a history of upper abdominal pain for two weeks and was diagnosed with synchro...Synchronous gastric cancer and primary small intestinal lymphoma are extremely rare. A 49-year-old woman was referred to our hospital with a history of upper abdominal pain for two weeks and was diagnosed with synchronous cancer. During hospitalization, the patient underwent laparoscopic distal gastrectomy + resection of bilateral ovaries + partial resection of both small intestine and descending colon. Pathological examination revealed a synchronous cancer consisting of early gastric cancer with poorly differentiated adenocarcinoma located in mucosa, with lymph node metastasis (3+/29) (T1N1M0, stage IB); and diffuse large B cell lymphoma of small intestine involving descending colon and bilateral ovaries, with lymph node metastasis (2+/5) (Ann Arbor IIE). The patient recovered well, without any obvious complications and was discharged on post-operative day 7. The patient received six cycles of chemotherapy after operation. She has been doing well with no evidence of recurrence for 13 mo.展开更多
目的分析原发性小肠淋巴瘤(primary small intestinal lymphoma,PSIL)的临床表现、相关辅助检查诊断及手术干预治疗效果,为提高临床诊治效果提供参考。方法回顾分析2015年5月至2020年10月山东大学齐鲁医院普通外科经手术干预及病理证实...目的分析原发性小肠淋巴瘤(primary small intestinal lymphoma,PSIL)的临床表现、相关辅助检查诊断及手术干预治疗效果,为提高临床诊治效果提供参考。方法回顾分析2015年5月至2020年10月山东大学齐鲁医院普通外科经手术干预及病理证实的30例PSIL患者的临床资料,并统计分析患者首诊情况、临床表现、影像学检查结果、手术情况及病理类型。结果30例PSIL患者中,首诊于消化内科15例,占比50.0%;首诊于普通外科11例,占比36.7%;首诊于急诊外科4例,占比13.3%。主要临床表现:腹部疼痛14例,占比46.7%;腹胀、恶心呕吐8例,占比26.7%;消化道出血5例,占比16.7%;腹部包块2例,占比6.7%;无症状1例,占比3.3%。影像学检查:27例患者行腹部CT检查均提示小肠局限性扩张、积液、肠壁增厚;13例患者行小肠镜检查提示小肠病变;2例行胶囊内镜检查提示小肠病变。手术情况:30例PSIL患者均行手术治疗,其中小肠部分切除肠吻合术23例,小肠部分切除小肠造瘘术2例,肠套叠复位+小肠部分切除术1例,小肠部分切除+左半结肠部分切除术3例,小肠部分切除+回盲部切除术1例。术后病理结果:均为非霍奇金淋巴瘤,其中弥漫大B细胞型17例,占比56.7%;T细胞型6例,占比20.0%;边缘区黏膜相关B细胞淋巴瘤3例,占比10.0%;NK/T细胞淋巴瘤2例,占比6.7%;套细胞淋巴瘤1例,占比3.3%;滤泡型淋巴瘤1例,占比3.3%。结论PSIL是较少见的消化道肿瘤,腹部CT、小肠镜检查及胶囊内镜检查均为有效检查手段,可提高诊断准确率;手术治疗是必要手段,可缓解临床症状,明确诊断,指导临床治疗。展开更多
目的:探讨小肠原发性恶性淋巴瘤(primary malignant lymphoma of small intestine)的临床特点和诊治方法。方法:回顾性分析我院收治的1例小肠原发性恶性淋巴瘤的临床资料,分析其临床、病理及治疗的特点。结果:不明原因腹腔肿块,在超声...目的:探讨小肠原发性恶性淋巴瘤(primary malignant lymphoma of small intestine)的临床特点和诊治方法。方法:回顾性分析我院收治的1例小肠原发性恶性淋巴瘤的临床资料,分析其临床、病理及治疗的特点。结果:不明原因腹腔肿块,在超声引导下腹腔穿刺,取病理行免疫组化,获得组织学证据。结论:该病起病隐匿,临床表现缺乏特异性,容易漏诊或误诊,缺乏有用的确诊手段,超声诊断对提高确诊率很有帮助。展开更多
基金Supported by Fundamental Research Funds,Yangzhou,China,No.SGG201230084College fund No.yzucms201203
文摘AIM: To characterize the clinical, radiological, endoscopic and pathological features of intestinal tuberculosis (ITB) and primary small intestinal lymphoma (PSIL).
基金Supported by Major Science and Technology Projects of Zhejiang Province,China,No.2012C13014-4Traditional Chinese Medicine Science and Technology Program of Zhejiang Province,China,No.2012ZA087
文摘Synchronous gastric cancer and primary small intestinal lymphoma are extremely rare. A 49-year-old woman was referred to our hospital with a history of upper abdominal pain for two weeks and was diagnosed with synchronous cancer. During hospitalization, the patient underwent laparoscopic distal gastrectomy + resection of bilateral ovaries + partial resection of both small intestine and descending colon. Pathological examination revealed a synchronous cancer consisting of early gastric cancer with poorly differentiated adenocarcinoma located in mucosa, with lymph node metastasis (3+/29) (T1N1M0, stage IB); and diffuse large B cell lymphoma of small intestine involving descending colon and bilateral ovaries, with lymph node metastasis (2+/5) (Ann Arbor IIE). The patient recovered well, without any obvious complications and was discharged on post-operative day 7. The patient received six cycles of chemotherapy after operation. She has been doing well with no evidence of recurrence for 13 mo.
文摘目的分析原发性小肠淋巴瘤(primary small intestinal lymphoma,PSIL)的临床表现、相关辅助检查诊断及手术干预治疗效果,为提高临床诊治效果提供参考。方法回顾分析2015年5月至2020年10月山东大学齐鲁医院普通外科经手术干预及病理证实的30例PSIL患者的临床资料,并统计分析患者首诊情况、临床表现、影像学检查结果、手术情况及病理类型。结果30例PSIL患者中,首诊于消化内科15例,占比50.0%;首诊于普通外科11例,占比36.7%;首诊于急诊外科4例,占比13.3%。主要临床表现:腹部疼痛14例,占比46.7%;腹胀、恶心呕吐8例,占比26.7%;消化道出血5例,占比16.7%;腹部包块2例,占比6.7%;无症状1例,占比3.3%。影像学检查:27例患者行腹部CT检查均提示小肠局限性扩张、积液、肠壁增厚;13例患者行小肠镜检查提示小肠病变;2例行胶囊内镜检查提示小肠病变。手术情况:30例PSIL患者均行手术治疗,其中小肠部分切除肠吻合术23例,小肠部分切除小肠造瘘术2例,肠套叠复位+小肠部分切除术1例,小肠部分切除+左半结肠部分切除术3例,小肠部分切除+回盲部切除术1例。术后病理结果:均为非霍奇金淋巴瘤,其中弥漫大B细胞型17例,占比56.7%;T细胞型6例,占比20.0%;边缘区黏膜相关B细胞淋巴瘤3例,占比10.0%;NK/T细胞淋巴瘤2例,占比6.7%;套细胞淋巴瘤1例,占比3.3%;滤泡型淋巴瘤1例,占比3.3%。结论PSIL是较少见的消化道肿瘤,腹部CT、小肠镜检查及胶囊内镜检查均为有效检查手段,可提高诊断准确率;手术治疗是必要手段,可缓解临床症状,明确诊断,指导临床治疗。
文摘目的:探讨小肠原发性恶性淋巴瘤(primary malignant lymphoma of small intestine)的临床特点和诊治方法。方法:回顾性分析我院收治的1例小肠原发性恶性淋巴瘤的临床资料,分析其临床、病理及治疗的特点。结果:不明原因腹腔肿块,在超声引导下腹腔穿刺,取病理行免疫组化,获得组织学证据。结论:该病起病隐匿,临床表现缺乏特异性,容易漏诊或误诊,缺乏有用的确诊手段,超声诊断对提高确诊率很有帮助。
