Adult T-cell Leukemia Presenting a IIa + IIc-like Lesion in the Stomach on Endoscopic Examination

Obata, Shinsuke; Tsukamoto, Atsuko; Kimura, Kyosuke; Maeda, Kazunari; Kawamura, Ryota

doi:10.1055/s-2007-1012799

Cited by 6 publications

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“…Microscopic infiltrates have been reported in 55% in one series [6]. Leukemic infiltration may involve the esophagus [5À7], stomach [5,6,8], small intestine [5,6,9], and colon [5,6,10]. None of these previous reports describes involvement of the gall bladder.…”

Section: Discussionmentioning

confidence: 99%

Cholecystitis as the presenting manifestation of acute myeloid leukemia

et al. 2002

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We report a case of acute leukemia, which presented as cholecystitis in a previously healthy middle-aged adult. Leukemic involvement of the gastrointestinal tract is a wellknown clinicopathological entity. However, leukemic infiltration of the gall bladder wall is a rare occurrence. It has only been previously described in the setting of relapsed disease and, to our knowledge, has never been reported as the primary manifestation of de novo acute leukemia. The patient in question was treated with standard induction and consolidation chemotherapy and remains in complete remission 19 months after his presentation with symptoms consistent with cholecystitis. Am.

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Section: Discussionmentioning

confidence: 99%

Cholecystitis as the presenting manifestation of acute myeloid leukemia

et al. 2002

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Gastric lesions in 76 patients with adult T-cell leukemia/lymphoma: Endoscopic evaluation

Sakata

Fujimoto

Iwakiri

et al. 1996

Cancer

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Leukemic infiltration of the esophagus

Fulp

Nestok

Powell

et al. 1993

Cancer

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Background. Leukemic infiltrates of the esophagus have been described occasionally in autopsy series, but there are no reports of antemortem diagnosis. Methods. Case reports are presented for three patients with acute myeloid leukemia in whom leukemic infiltration of the esophageal mucosa was diagnosed histologically and cytologically by endoscopic examination. Autopsies of patients with leukemia from 1976–1988 were reviewed. Results. The autopsy review of 207 patients with leukemia showed evidence of leukemic infiltration in the esophagus in 7.2% of cases. The only clinical factor identified to be significantly associated with esophageal involvement by leukemic cells was a high initial leukocyte count. Esophageal involvement was associated with leukemic infiltration of other soft tissues and organs. Conclusions. Although the etiology of dysphagia in patients with acute leukemia is usually related to infection, reflux, chemotherapy toxicity, or benign strictures, the frequency of esophageal leukemic infiltration in this autopsy series suggests that this diagnosis must be considered. Esophageal leukemia is usually associated with widely disseminated soft tissue and visceral infiltrates. Cancer 1993; 71:112‐6.

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Adult T-cell Leukemia Presenting a IIa + IIc-like Lesion in the Stomach on Endoscopic Examination

Cited by 6 publications

References 0 publications

Cholecystitis as the presenting manifestation of acute myeloid leukemia

Cholecystitis as the presenting manifestation of acute myeloid leukemia

Gastric lesions in 76 patients with adult T-cell leukemia/lymphoma: Endoscopic evaluation

Leukemic infiltration of the esophagus

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