The difference of clinical features between primary colorectal malignant T cell lymphoma and primary colorectal malignant B cell lymphoma
10.3760/cma.j.issn.0254-1432.2009.06.007
- VernacularTitle:不同淋巴细胞起源的原发性结直肠恶性淋巴瘤临床特点差异分析
- Author:
Wangdi LIAO
;
Guohua LI
;
Nonghua Lü
;
Chongwen WANG
- Publication Type:Journal Article
- Keywords:
Lymphoma;
Colorectal neoplasms;
Endoscopy
- From:
Chinese Journal of Digestion
2009;29(6):389-392
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the difference of clinical features between primary colorectal malignant T cell lymphoma and primary colorectal malignant B cell lymphoma.Methods Forty cases diagnosed as primary eolorectal malignant lymphoma (PCML) between Jan 1999 and May 2008 were studied retrospectively.Results The average age of 40 patients with PCML was (41.0±11.2) years old.Twenty-seven cases (67.5%) were diagnosed as B-cell lymphoma.Thirteen cases (32.5%) were diagnosed as T-cell lymphoma.Patients with T-cell lymphoma in PCML had more symptoms such as fever,night sweat and hematochezia,and was easier to perforate than those with B-cell lymphoma.Protrude type and single-focus and right-colon type were common in B-cell lymphoma under colonoscopy,but ulcerative type and multi-focus and fulbcolon were common in T-cell lymphoma.B-cell lymphoma had an earlier diagnosis,and more opportunities for surgery than T-cell lymphoma.Conclusions The misdiagnostic rate for PCML was high.Protrude type and single-focus and right-colon type were common in B-cell lymphoma under eolonoscopy,but ulcerative type and multi-focus and full-colon were common in T-cell lymphoma.B-cell lymphoma could be diagnosed earlier.