首页|Ⅱ型肠病相关性T细胞淋巴瘤临床病理观察

Ⅱ型肠病相关性T细胞淋巴瘤临床病理观察

Type Ⅱ enteropathy-associated T-cell lymphoma:clinicopathological observation

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目的:分析Ⅱ型肠病相关性T细胞淋巴瘤(Ⅱ型EATL)临床和组织病理学特点,探讨其诊断和鉴别诊断。方法:对1例小肠Ⅱ型EATL的临床表现、病理形态、免疫表型、治疗和预后等进行观察并复习文献。结果:女性患者,55岁,因发现腹部包块入院。临床表现主要为长期慢性腹泻、腹痛和发热。镜下瘤细胞中等大小,形态单一,弥漫浸润小肠肠壁全层。免疫表型瘤细胞表达CD3、CD43和CD56,CD20、CD79α和LMP-1阴性。EBER原位杂交阴性。随访10个月患者死亡。结论:Ⅱ型EATL诊断应结合相关临床表现,确诊主要依据组织病理学检查及免疫表型分析。
Objective:To investigate the clinical and pathological features of Type Ⅱenteropathy-associated T-cel lymphoma(EATL),discuss the diagnosis and differential diagnosis. Methods : One case of type Ⅱ EATL was reported with review of the literatures.The clinic symptoms,pathological morphology,immunophenotype,therapy and prognosis were analyzed in this disease. Results:A 55 years old female was admit ed with the complaint of abdominal mass.The patient always presented with chronic diarrhea,abdominal pain and fever. Histological y, the tumor cel s were monomorphic medium-sized and infiltrated the ful-thick small intestinal wal . Immunohistochemical staining, the tumor cel s expressed CD3,CD43 and CD56.The marks of CD20,CD79αand LMP-1 were negative.In-situ hybridization of EBER was negative.During the fol ow-up,patient died within 10 months.Conclusions:The diagnosis of typeⅡEATL should perform according to clinical presentations.In especial, a definite diagnosis must be on the basis of pathologic features and immunohistochemistry.

Enteropathy-associated T-cel lymphomaMorphologyImmunohistochemistry

王文军、张帆(通讯作者)、徐国祥

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皖南医学院弋矶山医院病理科 安徽 芜湖 241000

肠病相关性T细胞淋巴瘤 形态学 免疫组织化学

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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