A Case of Primary Intestinal T-Cell Lymphoma Involving Entire Gastrointestinal Tract: Esophagus to Rectum .
- Author:
Myung Ju AHN
1
;
Yong Wook PARK
;
Dongsoo HAN
;
Jung Hae CHOI
;
Sung June SHIN
;
Byung Chul YOON
;
Ho Soon CHOI
;
Young Yeul LEE
;
Tae June JUNG
;
Il Young CHOI
;
Moon Hyang PARK
;
In Soon KIM
Author Information
1. Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Intestinal;
Lymphoma;
T-lymphocytes;
Gastrointestinal system;
Malabsorption syndromes
- MeSH:
Case Report;
Esophageal Neoplasms/therapy*;
Esophageal Neoplasms/pathology;
Esophageal Neoplasms/diagnosis;
Female;
Gastrointestinal Neoplasms/therapy*;
Gastrointestinal Neoplasms/pathology;
Gastrointestinal Neoplasms/diagnosis;
Human;
Lymphoma, T-Cell/therapy*;
Lymphoma, T-Cell/pathology;
Lymphoma, T-Cell/diagnosis;
Middle Age
- From:The Korean Journal of Internal Medicine
2000;15(3):245-249
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary intestinal T-cell lymphoma is a rare disease entity, which is approximately 10% to 25% of intestinal lymphomas, and most of the lymphomas occur in the small intestine. We report here a case of a 56-year-old woman who has been suffering from chronic diarrhea and weight loss for 6 months. Abdominal CT scan and small bowel series showed diffuse wall thickening of the small bowel. Gastroscopic examination showed diffuse erythematous lesions on the esophagus and small gastric ulcerations on the antrum of the stomach, and colonoscopic examination also showed multiple punched-out ulcerations and erosions on the entire colon, including the sigmoid colon to the terminal ileum. Diffuse infiltration of CD 3 positive lymphoma cells was found on biopsy. The patient was diagnosed as primary intestinal T-cell lymphoma with diffuse involvement of the entire gastrointestinal tracts from the esophagus to the rectum. Although the patient received systemic combination chemotherapy and achieved partial response initially, the lymphoma relapsed repeatedly.
