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作 者:Hee Ryeong Jang Kyungyul Lee Kyu-Hyoung Lim
机构地区:[1]Division of Hematology and Oncology,Department of Internal Medicine,Kangwon National University Hospital,Kangwon National University College of Medicine,South Korea [2]Department of Pathology,Pathology Center,Seegene Medical Foundation,Seoul 61743,South Korea
出 处:《World Journal of Clinical Cases》2024年第35期6834-6839,共6页世界临床病例杂志(英文)
基 金:Supported by 2024 Kangwon National University Hospital Grant,No.KNUH_2024_02_06.
摘 要:BACKGROUND Gastrointestinal lymphoma typically arises in the stomach,small bowel,or colorectum and is usually a B-cell lymphoma.However,primary T-cell lymp-homas originating in the stomach are particularly rare.Gastric peripheral T-cell lymphoma-not otherwise specified(PTCL-NOS)is an extremely rare subtype.CASE SUMMARY We report a 63-year-old male presenting with epigastric pain.Esophagogastro-duodenoscopy revealed a large ulcerative lesion in the gastric cardia.Biopsy and immunohistochemical profiling confirmed PTCL-NOS.Imaging indicated stage II disease involving the stomach and intra-abdominal lymph nodes.The patient is planned to undergo cyclophosphamide,doxorubicin,vincristine,and prednisone or cyclophosphamide,doxorubicin,vincristine,prednisone,and etoposide chemo-therapy.CONCLUSION This case highlights the necessity of considering PTCL-NOS in differential diag-noses of gastric lesions.Comprehensive histopathological and immunohistoche-mical analysis is crucial for accurate diagnosis and guiding treatment.
关 键 词:Gastrointestinal lymphoma STOMACH Peripheral T-cell lymphoma-not otherwise specified Extranodal lymphoma Case report
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