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題 名 | Colonoscopic Features and Pathological Findings of Primary Colorectal Lymphoma=原發性大腸直腸淋巴瘤的型態以及病理結果相關性分析 |
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作 者 | 陳俊瑋; 許振銘; 林蔚然; 蘇銘堯; 邱正堂; 陳邦基; | 書刊名 | 臺灣消化醫學雜誌 |
卷 期 | 30:2 2013.06[民102.06] |
頁 次 | 頁183-189 |
分類號 | 416.245 |
關鍵詞 | 原發性大腸直腸淋巴瘤; 大腸直腸淋巴瘤型態表現; Primary colorectal lymphoma; Morphology of colorectal lymphoma; |
語 文 | 英文(English) |
中文摘要 | 研究動機:腸胃道是淋巴結外最主要發生惡性淋巴瘤的器官之一。然而,原發性大腸直腸淋巴瘤只佔了所有大腸直腸惡性腫瘤中的0.2%-0.6%。因此,在大腸鏡檢查中,原發性大腸直腸淋巴瘤的經驗是很少的。所以,我們分析原發性大腸直腸淋巴瘤在大腸鏡中型態與病理的關聯。材料與方法:在11年的期間,22位病人符合了Dawson等人所提出的原發性大腸直腸淋巴瘤的定義。我們收集了每個病人的年齡、性別、病灶位置、臨床症狀、大腸鏡下的病灶型態、以及組織學的診斷。結果:在22個病人中,有12位是男性,有10位是女性,平均年紀是56.3歲,最常見的臨床症狀是腹痛(12,54%)。我們將病灶型態分為四類:第一型:腫塊(9,41%);第二型:類息肉(8,36%);第三型:表淺糜爛(3,14%);第四型:潰瘍(2,9%)。瀰漫性大型B 細胞淋巴瘤是最常見的病理診斷,最常見病灶的位置在近端大腸。結論:大部分原發性大腸直腸淋巴瘤在內視鏡下最常見的型態是第一型與第二型病灶。在我們的病人中,大部分病人診斷為瀰漫性大型B細胞淋巴瘤,並沒有病人診斷為T細胞淋巴癌。在近端大腸中的原發性大腸直腸淋巴瘤,大多數以瀰漫性大型B細胞淋巴瘤合併第一型病灶出現。 |
英文摘要 | Background: Gastrointestinal (GI) tract is one of the major sites of primary extranodal malignant lymphomas.However, primary colorectal lymphomas are uncommon and account for only 0.2%-0.6% cases of large-bowelmalignancies. The experience of primary colorectal lymphoma under colonoscopy is rare. Herein, we analyze thecolonoscopic features and pathological findings of primary colorectal lymphomas.Patients and Methods: Twenty-two patients met the criteria of primary GI tract lymphoma defined by Dawsonet al. over an 11 year period. Data regarding the age, gender, location of tumor, clinical symptoms, colonoscopicmanifestations, and histological diagnosis were collected for each patient.Results: Of the 22 patients with primary colorectal lymphoma, 12 were male and 10 were female. Their mean agewas 56.3 years. The most common clinical symptoms in these patients were abdominal pain (12, 54%). We classified thelesions into 4 main categories: type 1, mass type (9, 41%); type 2, polypoid type (8, 36%); type 3, superficial erosive type(3, 14%); and type 4, ulcerative type (2, 9%). Diffuse large B-cell lymphomas (DLBCL) (16 patients, 73%) were the mostcommon types of lymphomas in our series. The most common occurrence site was the proximal colon.Conclusion: Most primary colorectal lymphomas present as type 1 and type 2 lesions. Most patients in our serieshad DLBCL, and none had T-cell lineage lymphomas. A majority of the primary colorectal lymphomas located in theproximal colon were DLBCLs with type 1 lesions. |
本系統中英文摘要資訊取自各篇刊載內容。