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Diagnosis of Duodenal Lymphoma Hiroyuki Okada 1 , Takehiro Tanaka 2 , Masaya Iwamuro 1 , Hiromitsu Kanzaki 1 , Seiji Kawano 1 , Yoshiro Kawahara 3 , Katsuyoshi Takata 2 , Tadashi Yoshino 2 1Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan 2Department of Pathology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Science, Okayama, Japan 3Department of Endoscopy, Okayama University Hospital, Okayama, Japan Keyword: 十二指腸 , リンパ腫 , 内視鏡 , 診断 pp.1587-1594
Published Date 2018/11/25
DOI https://doi.org/10.11477/mf.1403201515
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 Duodenal lymphoma often exhibits characteristic endoscopic findings depending on the histological types. Follicular cell lymphoma, which accounts for most cases of duodenal lymphoma, is distinctive with the whitish diffuse small granular appearance in the descending part of the duodenum. In addition, a small intestinal endoscopic examination should be performed because of a high possibility of the existence of small intestinal lesions. To date, several cases of ulcerative form in diffuse large B-cell lymphoma in the duodenum have been reported, and both protruding- and mixed-type lymphoma have been observed. Moreover, several cases of MLP(multiple lymphomatous polyposis)-type and protruding-type mucosa-associated lymphoid tissue lymphoma have been reported. In Helicobacter pylori-positive cases, several cases have been known to result in remission only through eradication therapy. Often, mantle cell lymphoma is diagnosed at an advanced stage, in which the lymphoma has already broadly spread to the digestive tract, mostly accounting for MLP-type in the duodenum.


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

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