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Radiographic and Endoscopic Features of Primary Malignant Lymphoma of the Small Intestine: Comparison with Pathological Findings of the Resected Specimens Mitsuo lida 1 1The Second Department of Internal Medicine, Faculty of Medicine, Kyushu University pp.1331-1346
Published Date 1988/12/25
DOI https://doi.org/10.11477/mf.1403108884
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 Study was conducted regarding radiographic and endoscopic features of primary malignant lymphoma of the jejunum and ileum in 26 patients (32 lesions). The radiographic features were also correlated with pathological findings of the resected specimens. Radiographic appearances as seen by double contrast technique were divided into the following nine groups (Fig. 1):

 1) The size of the lumen is normal but small (Ia) or large (Ib) polypoid lesions are seen (Type I, 7 lesions).

 2) Severe narrowing of the lumen is seen (Type II).

 3) Tubular narrowing of the lumen is demonstrated (Type III, 5 lesions).

 4) Normal mucosal pattern is lost but the size of the lumen is almost normal (Type IV, 2 lesions).

 5) There is a large and deep ulceration causing remarkably increased size of the lumen (Type V, 4 lesions).

 6) Kerckring's folds are diffusely thickened with scattered strictures (Type VI, 2 lesions).

 7) There are coarse mucosal patterns consisting of innumerable fine granular radiolucencies, and diffuse thickening of the folds (Type VII, 2 lesions).

 8) Intussusception is demonstrated (Type VIII, 5 lesions).

 9) Two or more patterns are seen (Mixed type, 5 lesions).

 There was a good correlation between radiographic appearances and macroscopic findings of the resected specimens including cross section of the lesion. Endoscopy of the small intestine was performed in 10 patients, in 9 of whom it was useful for the diagnosis. Especially, push-type small intestinal fiberscopy was of use in diagnosing Type VII lesions. Our results suggest that double contrast study and endoscopy of the small intestine are essential to the definitive diagnosis of this disease.


Copyright © 1988, 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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