| |
著者: Seung-Jae Myung, Kwang Ro Joo, Suk-Kyun Yang, Hwoon-Yong Jung, Hye-Sook Chang, Hyun Ju Lee, Weon-Seon Hong, Jin-Ho Kim, Young Il Min, Hee Cheol Kim, Chang Sik Yu, Jin Cheon Kim, Jung-Sun Kim
雑誌名: Gastrointest Endosc. 2003 Mar;57(3):343-7. doi: 10.1067/mge.2003.135.
Abstract/Text
BACKGROUND: The aims of this study were to classify primary ileocolonic lymphomas according to colonoscopic findings and to determine the clinicopathologic relationship according to classes.
METHODS: Thirty-two patients (22 men, 10 women; age range 29 to 75 years) with primary malignant lymphoma of the terminal ileum and/or colorectum were studied. The clinicopathologic features were evaluated according to colonoscopic findings.
RESULTS: Thirty-six lesions in 32 patients were endoscopically classified as follows: fungating (14, 39%), ulcerofungating (11, 31%), infiltrative (5, 14%), ulceroinfiltrative (4, 11%), and ulcerative (2, 6%). Location of the lesions was as follows: terminal ileum, 15 (42%); colorectum, 14 (39%); both regions, 7 (19%). The most common histopathologic types were diffuse large cell (22, 69%) and large cell immunoblastic (5, 16%). There was no relationship between the endoscopic findings and histologic types. In 9 patients (28%), the clinical manifestation was intussusception, and all were found endoscopically to have the fungating type lesion.
CONCLUSIONS: Primary ileocolonic lymphomas can be classified endoscopically into fungating, ulcerative, infiltrative, ulcerofungating, and ulceroinfiltrative types. Among these, fungating and ulcerofungating are the most frequent. Intussusception is a common clinical finding in ileocolonic lymphomas, occurring mainly in patients with the fungating type of lesion.
PMID 12612513 Gastrointest Endosc. 2003 Mar;57(3):343-7. doi: 10.1067/mge.2003.135.
|
