A Case of Primary T-Cell Lymphoma of the Duodenum

Kim, Yeul Hong; Song, Tae Jin; Ryu, Ho Sang; Hyun, Jin Hai; Suh, Soon Yong; Kim, Joon Mee; Kim, In Sun

doi:10.3904/kjim.1991.6.1.44

Cited by 9 publications

(5 citation statements)

References 35 publications

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“…All NHLs are accounted for approximately 4% of all tumors arising in the GI system (2). The more lymphoid tissue is in parts of small intestine, the more incidence of lymphoma is depicted; thus, as expected, ileocecal region is the most frequent site, while the duodenum remains as the most infrequent site (3). Evidence of obstruction is secondary to rare form of intestinal lymphoma; duodenal primary lymphoma made our patient distinct.…”

Section: Introductionsupporting

confidence: 59%

Obstructive Duodenal Lymphoma: A Case Report

Taheri

Mehrnahad

Kimia

2017

Iran Red Crescent Med J

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Introduction: Lymphomas comprise a diverse group of neoplasms derived from B cells, T cells, or NK cells. Although GI tract is a current site for the secondry spread of non-hodgkin lymphoma, it's involvment as the primary site is less common noticeably showing only 10% -15%. The more lymphoid tissue is in parts of small intestine, the more incidence of lymphoma is depicted; thus, as expected, ileocecal region is the most frequent site and the duodenum remains as the most infrequent site. Case Report: An 18-year-old woman with no pervious history of any disease was admitted to the emergency room of Shohaday-eTajrish hospital that is a tertiary hospital in Tehran, Iran. The patient presented with weakness, nausea, and retractile vomiting. The CT scan was performed, showing that stomach and proximal of duodenum were dilated significantly and wall thickening of duodenum, 2nd and 3rd portions, was obvious. No pathological lymph node or invasion to adjacent organs was seen. The patient was explored; operation findings were dilatation of stomach and duodenum; thickening of duodenojejunal junction with 10 cm extension was mentioned. Biopsied tissue during operation showed diffuse large B cell lymphoma. Conclusions: Duodenal lymphoma is infrequent and it is rare to represent with obstruction. Thus, if there is any clinical indication and no definite diagnosis in such patient, biopsy and histopathological investigation is necessary after radiological studies.

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Section: Introductionsupporting

confidence: 59%

Obstructive Duodenal Lymphoma: A Case Report

Taheri

Mehrnahad

Kimia

2017

Iran Red Crescent Med J

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“…Enteropathy-associated T-cell lymphoma occurs commonly in the jejunum, either alone or in combination with multiple other sites in the gastrointestinal tract 1 ) . Although several cases of primary intestinal T-cell lymphomas were reported 7 , 8 ) , it has not been reported that the patient had extensive lymphoma lesions confirmed by biopsy throughout the entire gastrointestinal tract which is very rare in Korea.…”

Section: Discussionmentioning

confidence: 91%

A Case of Primary Intestinal T - Cell Lymphoma Involving Entire Gastrointestinal Tract : Esophagus to Rectum

Ahn

Park

Han

et al. 2000

Korean J Intern Med

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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.

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“…[19][20][21][22][23][24][25][26][27][28][29] Higher grade tumors such as DLBCL had lower survival, 12,14,18,30,31 whereas T/NK-cell tumors, not observed in our series, accounted for the worst overall survival of 40 per cent at 1 year. 15,16,[32][33][34] Operations in our patients were required for significant tumor complications of bleeding or intestinal obstruction. The operations were complicated by technical challenges, recurrent bleeding, and postoperative sepsis.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Lymphoma: A Rare and Morbid Tumor

Chestovich

Schiller

Sasu

et al. 2007

The American Surgeon™

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We conducted a retrospective tumor registry review of a 36-year experience in a university center and identified 10 patients with duodenal lymphoma (five localized, five disseminated). Histologic types included diffuse large B-cell in four patients, mucosa-associated lymphoid tumor in three, and Hodgkin, follicular, and unclassified (one each). Treatments included chemotherapy in four patients, radiation therapy (RT) in two patients, Helicobacter pylori treatment in two, and observation in one. Five patients underwent operations (emergent in two, elective in three) for indications including massive bleeding in two patients, obstruction in two, or both in one. Survival for surgical group was 25 per cent at 1 year. One-year survival for nonsurgical group was 100 per cent, and all nonoperated patients lived at least 5 years, except for one who is alive 2 years after diagnosis. Surgical patients were younger and had more advanced lesions and less favorable cell types. When operation is required for bleeding or obstruction from secondary tumors in younger patients with disseminated disease, surgical challenges are formidable and survival is very limited. Tumors of less aggressive histology have far better prognosis.

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A Case of Primary T-Cell Lymphoma of the Duodenum

Cited by 9 publications

References 35 publications

Obstructive Duodenal Lymphoma: A Case Report

Obstructive Duodenal Lymphoma: A Case Report

A Case of Primary Intestinal T - Cell Lymphoma Involving Entire Gastrointestinal Tract : Esophagus to Rectum

Duodenal Lymphoma: A Rare and Morbid Tumor

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