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Enteropathy-type T-cell Lymphoma with Diffuse Infiltration Findings of the Small Bowel, Report of a Case Yuki Koga 1 , Toshiyuki Matsui 1 , Fumihito Hirai 1 , Hiroaki Matake 1 , Hiroshi Tanabe 2 , Akinori Iwashita 2 , Morishige Takeshita 3 , Kouichi Ohshima 4 1Department of Gastroenterology, Fukuoka University Chikushi Hospital 2Department of Pathology, Fukuoka University Chikushi Hospital 3Department of Pathology, School of Medicine, Fukuoka University 4Department of Pathology, School of Medicine, Kurume University Keyword: びまん性腸病変 , 蛋白漏出性腸症 , enteropathy-type T-cell lymphoma pp.401-408
Published Date 2006/3/25
DOI https://doi.org/10.11477/mf.1403100297
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 A sixty-eight-year-old male patient complaining of abdominal pain and diarrhea which mimicked enteritis-like symptoms was referred to our hospital. Laboratory test and absorption test revealed that he was suffering from protein-losing enteropathy and malabsorption syndrome. Radiographic and endoscopic study showed diffuse thickening and coarse granular mucosa in the whole duodenum and the whole small intestine. Endoscopic biopsy revealed thick mucosal infiltration of lymphoma cells which, by immuno-histochemical staining, were diagnosed as of T-cell origin (enteropathy-type T-cell lymphoma). Because it is known that this type of lymphoma has very poor prognosis even after strong chemotherapy, this patient received conservative nutritional therapy but did not receive any chemotherapy. Ten months later he died suddenly because of a necrotizing ileus.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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