Primary Small Intestinal Lymphoma: A Review with Special Reference to the Correlation Between its Macroscopic and Histologic Features Shotaro Nakamura 1 , Takayuki Matsumoto 1 , Takashi Yao 2 , Mitsuo Iida 1 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan Keyword: 小腸リンパ腫 , DLBCL , MALTリンパ腫 , 濾胞性リンパ腫 , 肉眼分類 pp.533-538
Published Date 2008/4/24
DOI https://doi.org/10.11477/mf.1403101326
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 The clinicopathological features of patients with primary small intestinal lymphoma were reviewed. Histologically, diffuse large B-cell lymphoma (DLBCL) is most frequently observed. Compared to primary gastric cases, MALT lymphoma is less frequent, while T-cell lymphoma and follicular lymphoma are more frequent in primary small intestinal cases. Macroscopically, small intestinal lymphomas are classified as either polypoid, ulcerative (including stricturing, non-stricturing and aneurysmal forms on radiography), multiple lymphomatous polyposis, diffuse, or other types. A significant correlation is observed between these macroscopic/radiographic and histologic types. The therapeutic strategy, such as surgery, chemotherapy, antibiotics or watch-and-wait, should be determined based on the disease extent, histologic type, and clinical stage.

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