以结肠多发溃疡为表现的肠病型T细胞淋巴瘤1例报道  

Enteropathy associated T-cell lymphoma presenting with multi ulcers in colon: one case report

作　　者：王彪猛[1] 张久聪[1] 刘德科[1] 陈嘉屿[1] 

机构地区：[1]兰州军区兰州总医院消化科,甘肃兰州730050

出　　处：《胃肠病学和肝病学杂志》2016年第1期50-52,共3页Chinese Journal of Gastroenterology and Hepatology

基　　金：国家自然科学基金(81500454);兰州军区医药卫生科研项目(CLZ15JA02)

摘　　要：肠病型T细胞淋巴瘤(enteropathy associated T-cell lymphoma,EATL)是一种原发于肠道的可能来源于肠道上皮内T淋巴细胞的结外T细胞淋巴瘤,临床少见,在欧美和亚洲的报道中均仅占全部非霍奇金淋巴瘤(non-Hodgkin’s lymphoma,NHL)的不足1%。临床上该病诊断较为困难,内镜下表现与肠结核、克罗恩病、肠型白塞病、结肠癌等病变难以区分,临床上具有较高的误诊、误治率。近期收治1例EATL患者,通过对该病例诊治过程的分析讨论,以期提高医务工作者对该病的重视及认识,避免临床误诊、误治。Enteropathy associated T-cell lymphoma （EATL） is an extranodal T cell lymphoma which may be originated from intestinal in- traepithelial T lymphocytes. EATL is rarely seen in clinical practice, the incidence rate only accounts for less than 1% of all non Hodgkin＇ s lymphoma （NHL） in Europe, United States and Asia. The disease is difficult to diagnose because of the clinical manifestations and the en- doscopic performances are difficult to distinguish from intestinal tuberculosis, Crohn＇ s disease, intestinal Behcet＇ s disease and colon canc- er, which lead to high rates of misdiagnosis. A patient with EATL was treated in this article to improve the understanding of the disease, to avoid the clinical misdiagnosis through the analysis of the process of diagnosis and treatment.

关 键 词：T细胞淋巴瘤 肠病型 多发溃疡 结肠 

分 类 号：R574.62[医药卫生—消化系统]