Assuntos
Linfoma de Células T Associado a Enteropatia , Transtornos Linfoproliferativos , Pólipos Nasais , Feminino , Humanos , Diagnóstico Diferencial , Linfoma de Células T Associado a Enteropatia/diagnóstico , Linfoma de Células T Associado a Enteropatia/patologia , Antígeno Ki-1/metabolismo , Linfoma de Células T/diagnóstico , Linfoma de Células T/patologia , Transtornos Linfoproliferativos/diagnóstico , Transtornos Linfoproliferativos/patologia , Pólipos Nasais/diagnóstico , Pólipos Nasais/patologia , Idoso de 80 Anos ou maisRESUMO
Monomorphic epitheliotropic intestinal T-cell lymphoma(MEITL)is very rare and aggressive subtype of lymphoma with poor prognosis. A 60-year-old man complaining of abdominal pain was underwent partial resection of the jejunum for panperitonitis with a small intestinal perforation. The histopathological and immunohistochemical findings led to the diagnosis of MEITL. Postoperative course was uneventful. One month after the operation, the patient was scheduled for 6 courses of CHOP regimens. He presented with bowel obstruction twice during the 3 courses of CHOP. As the recurrence of MEITL could not be ruled out, diagnostic laparoscopy was performed. Laparoscopic findings revealed no recurrence and adhesive small bowel obstruction. The patient was followed closely without treatment after 6 courses of CHOP. The patient has been alive without recurrence 18 months after the resection. We reported a case of monomorphic epithelial intestinal T- cell lymphoma causing jejunal perforation.
Assuntos
Linfoma de Células T Associado a Enteropatia , Perfuração Intestinal , Masculino , Humanos , Pessoa de Meia-Idade , Linfoma de Células T Associado a Enteropatia/patologia , Intestino Delgado/cirurgia , Intestino Delgado/patologia , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgiaRESUMO
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