Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
要旨 軽度腹部膨満感を主訴とする51歳男性の,Treitzより50cm肛側の空腸に発生した悪性リンパ腫症例を報告する.腫瘍は典型的な動脈瘤型で,上腸問膜動脈根部にまで及ぶ範囲にリンパ節転移を認めたが,他の部位・臓器には転移はみられなかった.本例はルーチンの胃X線検査に引き続いて行われた追跡腸検査にてチェックされたが,この検査の意義は大きいと考えられ強調したい.小腸悪性リンパ腫については形態学的検査のみならず,免疫学的および血液学的な検査も必要と思われ,今後これら各領域との密接な協力のもとに本疾患の解明および早期発見への努力が期待される.
A case of malignant lymphoma which developed at the jejunum 50 cm anal from the Treitz's ligament in a 51 year-old male, who had been complaining of slight abdominal fullness, was reported. The tumor was typically aneurysmal type and its lymphatic metastases were found up to the radix of the superior mesenteric artery, but there were no metastases to any other organs.
This lesion was firstly checked by small bowel follow-through after routine gastric barium study. We would like to emphasize the importance of the small bowel follow-through in this case. Small intestinal endoscopy (ropeway method) was performed. The lesion was observed easily, but to our regret we failed to take the biopsy specimens.
Hypervascularity and a faint tumor stain were noted by a superior mesenteric arterial angiography.
As to a clarification and to an early detection of the malignant lymphoma of the small intestine, combined efforts of morphology, immunology and hematology are necessary.
Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.