A Case of Peripheral T-cell Lymphoma of the Duodenum and Jejunum.
- Author:
Hsueh Chen YUEH
1
;
Chi Sung HWANG
;
Jae Won CHOI
;
Seung Keun PARK
;
Hee Ug PARK
;
Hye Sook KIM
Author Information
1. Department of Internal Medicine, Maryknoll Medical Center, Busan, Korea. clavicle22@hanmail.net
- Publication Type:Case Report
- Keywords:
Duodenum;
Peripheral T-cell lymphoma
- MeSH:
B-Lymphocytes;
Duodenum;
Endoscopy, Digestive System;
Exudates and Transudates;
Head;
Hemorrhage;
Humans;
Intestine, Small;
Jejunum;
Lymphoma;
Lymphoma, T-Cell;
Lymphoma, T-Cell, Peripheral;
Middle Aged;
T-Lymphocytes;
Ulcer;
Weight Loss
- From:Korean Journal of Gastrointestinal Endoscopy
2011;43(1):17-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary T-cell lymphoma of the duodenum is uncommon, and peripheral T-cell lymphoma of the duodenum is extremely rare. Approximately 90% of primary gastrointestinal lymphomas originate from B-cells and fewer than 10% originate from T-cells. A peripheral T-cell lymphoma involved in the small intestine is usually detected by complications such as gastrointestinal bleeding, perforation, or obstruction. A 57-year-old man complained of postprandial discomfort and weight loss of 5 kg for 1 month. An esophagogastroduodenoscopy showed a deep ulcer with blood clots and whitish exudates. We conducted a Whipple's operation because of the high risk of ulcer perforation and difficulty in distinguishing the ulcer from malignancy. The resected tissue was confirmed as a peripheral T-cell lymphoma. We reported a case of peripheral T-cell lymphoma of the duodenum and jejunum that extended to the pancreatic head where a diffuse lesion was found without any complications or specific symptoms.
