Multiple Primary T-cell Lymphoma of the Colon and Ileum-Report of a Case
We report a case of multiple T-cell malignant lymphoma of the colon, and discussthis case in relation to the literature. An 89-year-old male was hospitalized with complaint of diarrhea. Barium enema and colonoscopy showed multiple ulcers ofthe rectum and sigmoid colon. Immunohistochemical stainings...
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| Published in | Nippon Shokaki Geka Gakkai zasshi Vol. 31; no. 8; pp. 1902 - 1906 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japanese Society of Gastroenterological Surgery
1998
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0386-9768 1348-9372 |
| DOI | 10.5833/jjgs.31.1902 |
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| Abstract | We report a case of multiple T-cell malignant lymphoma of the colon, and discussthis case in relation to the literature. An 89-year-old male was hospitalized with complaint of diarrhea. Barium enema and colonoscopy showed multiple ulcers ofthe rectum and sigmoid colon. Immunohistochemical stainings of biopsy specimens revealed T-cell malignant lymphoma. Emergency operation was performed because ofperforation of the sigmoid tumor. Resected specimen contained multiple ulcers ofthe colon and ileum. After the operation, the patient suffered from intractable, bloody and watery diarrhea. Anemia and hypoproteinemia could not be controlled and he died 71 days later. We speculate that remnant tumor might have existed. T-cell lymphoma of the colon is very rare, and only 16 cases have been reported inJapan. Its prognosis is much worse than that of of B-cell origin. |
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| AbstractList | We report a case of multiple T-cell malignant lymphoma of the colon, and discussthis case in relation to the literature. An 89-year-old male was hospitalized with complaint of diarrhea. Barium enema and colonoscopy showed multiple ulcers ofthe rectum and sigmoid colon. Immunohistochemical stainings of biopsy specimens revealed T-cell malignant lymphoma. Emergency operation was performed because ofperforation of the sigmoid tumor. Resected specimen contained multiple ulcers ofthe colon and ileum. After the operation, the patient suffered from intractable, bloody and watery diarrhea. Anemia and hypoproteinemia could not be controlled and he died 71 days later. We speculate that remnant tumor might have existed. T-cell lymphoma of the colon is very rare, and only 16 cases have been reported inJapan. Its prognosis is much worse than that of of B-cell origin. |
| Author | Hirata, Shizuhiro Yamasaki, Toru Kishikawa, Hideki Yonemasu, Hirotoshi Nagafuchi, Kazumitsu |
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| References | 10) 富永雅也, 淵上忠彦, 岩下明徳ほか: 大腸原発悪性リンパ腫を併発した潰瘍性大腸炎の1例. 胃と腸24: 553-560, 1989 7) 太田博俊, 高木國夫, 西満正ほか: 腸管悪性リンパ腫の治療と予後. 胃と腸24: 529-538, 1989 17) 大隈隆太郎, 福本広文, 伊藤祐一ほか: 横行結腸T細胞性悪性リンパ腫の1例. 胃と腸30: 940-944, 1995 2) 尾崎美智子, 稲月明, 福岡保ほか: 胃原発T細胞悪性リンパ腫の1例. 日消病会誌93: 470-474, 1996 16) 二村浩史, 羽生信義, 青木照明ほか: S状結腸原発T細胞性悪性リンパ腫の穿孔の1例. 日消外会誌28: 2220-2224, 1995 1) Jinnai D, Izawa Z, Watanuki T: Malignant lymphoma of the large intestine-Operative result in Japan. Jpn J Surg 13: 331-336, 1983 3) Shepherd NA Hall PA, Coates PJ et al: A histopathological and immunohistochemical analysis of 45 cases with clinicopathological correlations. Histopathology 12: 232-252, 1988 20) 大湾朝二, 島尻博人, 宮平守博ほか: 胃・大腸T細胞性悪性リンパ腫の1例. 沖縄医会誌34: 12-15, 1996 13) Nagai T, Koyama R, Sasagawa Y et al: Diffuse infiltrating T-cell lymphoma of the Colon Associated with polyclonal hypergammaglobulinemia and Hepatocellular carcinoma: Report of a case. Jpn J Med 30: 57-63, 1991 9) 藍澤修, 岡崎悦夫, 山本睦生ほか: 潰瘍性大腸炎に合併した大腸悪性リンパ腫の1例. 胃と腸24: 561-565, 1989 22) 三浦光一, 大沢佳之, 鈴木俊夫ほか: 異時性に多発した小腸原発T細胞性悪性リンパ腫の1例. Gastrenterol Endosc 38: 1180-1185, 1996 6) 太田博俊, 西満正, 上野雅資ほか: 腸管悪性リンパ腫の診断と治療. 消外16: 1419-1428, 1993 14) 高尾雄二郎, 平田一郎, 島本史夫ほか: 眼瞼腫瘤を契機に発見された大腸T細胞性悪性リンパ腫の1例. Gastroenterol Endosc 35: 2701-2705, 1993 11) Aozawa K, Ohsawa M, Soma T et al: Malignant lymphoma of the rectum. Jpn J Clin Oncol 20: 380-386, 1990 18) 岩下明徳, 竹下盛重, 竹村聡ほか: 原発性悪性リンパ腫の臨床病理学的検索. 胃と腸30: 869-886, 1995 21) 古林孝保, 姫野誠一, 長沢豊ほか: 大腸原発T細胞性悪性リンパ腫の1例. 日消病会誌94: 278-283, 1997 15) 牧野正人, 大谷真二, 白井博之ほか: 大腸悪性リンパ腫症例の検討-核DNA量分析およびAgNORs個数の予後因子としての意義. 癌の臨40: 1601-1605, 1994 8) Dawson IMP, Cornes JS, Morsou BC et al: Primary malignant lymphoid tumours of the intestinal tract: Report of 37 cases with a study of factors influencing prognosis. Br J Surg 49: 80-89, 1961 4) Freeman C, Berg JW, Cutler SJ et al: Occurence and prognosis of extra-nodal lymphoma. Cancer 29: 252-260, 1972 5) 中村敬夫, 田中貞夫, 佐藤栄一ほか: 胃腸管悪性リンパ腫の病理組織学的検討. 癌の臨28: 301-306, 1982 23) 小堀鴎一郎, 島津久明, 保坂茂文ほか: 悪性リンパ腫の異時性重複発生-胃とその他の部位における発生からの考察. 医のあゆみ114: 441-443, 1981 19) 腰塚浩三, 西田広一郎, 武藤俊治ほか: 原発性上行結腸T細胞性悪性リンパ腫の1切除例. 日消外会誌29: 775-779, 1996 12) Yamamoto K, Shiraishi T, Ajiki T et al: A case of intestinal T-cell lymphoma with repeated episodes of perferation. Gastroenterol Jpn 26: 649-653, 1991 |
| References_xml | – reference: 17) 大隈隆太郎, 福本広文, 伊藤祐一ほか: 横行結腸T細胞性悪性リンパ腫の1例. 胃と腸30: 940-944, 1995 – reference: 2) 尾崎美智子, 稲月明, 福岡保ほか: 胃原発T細胞悪性リンパ腫の1例. 日消病会誌93: 470-474, 1996 – reference: 8) Dawson IMP, Cornes JS, Morsou BC et al: Primary malignant lymphoid tumours of the intestinal tract: Report of 37 cases with a study of factors influencing prognosis. Br J Surg 49: 80-89, 1961 – reference: 23) 小堀鴎一郎, 島津久明, 保坂茂文ほか: 悪性リンパ腫の異時性重複発生-胃とその他の部位における発生からの考察. 医のあゆみ114: 441-443, 1981 – reference: 12) Yamamoto K, Shiraishi T, Ajiki T et al: A case of intestinal T-cell lymphoma with repeated episodes of perferation. Gastroenterol Jpn 26: 649-653, 1991 – reference: 13) Nagai T, Koyama R, Sasagawa Y et al: Diffuse infiltrating T-cell lymphoma of the Colon Associated with polyclonal hypergammaglobulinemia and Hepatocellular carcinoma: Report of a case. Jpn J Med 30: 57-63, 1991 – reference: 5) 中村敬夫, 田中貞夫, 佐藤栄一ほか: 胃腸管悪性リンパ腫の病理組織学的検討. 癌の臨28: 301-306, 1982 – reference: 22) 三浦光一, 大沢佳之, 鈴木俊夫ほか: 異時性に多発した小腸原発T細胞性悪性リンパ腫の1例. Gastrenterol Endosc 38: 1180-1185, 1996 – reference: 7) 太田博俊, 高木國夫, 西満正ほか: 腸管悪性リンパ腫の治療と予後. 胃と腸24: 529-538, 1989 – reference: 3) Shepherd NA Hall PA, Coates PJ et al: A histopathological and immunohistochemical analysis of 45 cases with clinicopathological correlations. Histopathology 12: 232-252, 1988 – reference: 16) 二村浩史, 羽生信義, 青木照明ほか: S状結腸原発T細胞性悪性リンパ腫の穿孔の1例. 日消外会誌28: 2220-2224, 1995 – reference: 14) 高尾雄二郎, 平田一郎, 島本史夫ほか: 眼瞼腫瘤を契機に発見された大腸T細胞性悪性リンパ腫の1例. Gastroenterol Endosc 35: 2701-2705, 1993 – reference: 18) 岩下明徳, 竹下盛重, 竹村聡ほか: 原発性悪性リンパ腫の臨床病理学的検索. 胃と腸30: 869-886, 1995 – reference: 15) 牧野正人, 大谷真二, 白井博之ほか: 大腸悪性リンパ腫症例の検討-核DNA量分析およびAgNORs個数の予後因子としての意義. 癌の臨40: 1601-1605, 1994 – reference: 21) 古林孝保, 姫野誠一, 長沢豊ほか: 大腸原発T細胞性悪性リンパ腫の1例. 日消病会誌94: 278-283, 1997 – reference: 9) 藍澤修, 岡崎悦夫, 山本睦生ほか: 潰瘍性大腸炎に合併した大腸悪性リンパ腫の1例. 胃と腸24: 561-565, 1989 – reference: 11) Aozawa K, Ohsawa M, Soma T et al: Malignant lymphoma of the rectum. Jpn J Clin Oncol 20: 380-386, 1990 – reference: 4) Freeman C, Berg JW, Cutler SJ et al: Occurence and prognosis of extra-nodal lymphoma. Cancer 29: 252-260, 1972 – reference: 6) 太田博俊, 西満正, 上野雅資ほか: 腸管悪性リンパ腫の診断と治療. 消外16: 1419-1428, 1993 – reference: 10) 富永雅也, 淵上忠彦, 岩下明徳ほか: 大腸原発悪性リンパ腫を併発した潰瘍性大腸炎の1例. 胃と腸24: 553-560, 1989 – reference: 20) 大湾朝二, 島尻博人, 宮平守博ほか: 胃・大腸T細胞性悪性リンパ腫の1例. 沖縄医会誌34: 12-15, 1996 – reference: 19) 腰塚浩三, 西田広一郎, 武藤俊治ほか: 原発性上行結腸T細胞性悪性リンパ腫の1切除例. 日消外会誌29: 775-779, 1996 – reference: 1) Jinnai D, Izawa Z, Watanuki T: Malignant lymphoma of the large intestine-Operative result in Japan. Jpn J Surg 13: 331-336, 1983 |
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| Title | Multiple Primary T-cell Lymphoma of the Colon and Ileum-Report of a Case |
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