1例mucus -associated lymphoid tissue (MALT)淋巴瘤病例,伴随向肠系膜播撒的Trousseau综合征

Yoshiaki Hayashi, Yasuharu Kaizaki, M. Utsunomiya, A. Aritsuka, Y. Naito, H. Fujinaga, Kenkei Hasatani, Hiroyuki Aoyagi, N. Ibe, Tamon Miyanaga
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摘要

例66岁男性,短时间内复发性脑卒中,由神经科转介至我科,以排除任何恶性肿瘤。内窥镜检查显示胃体白色凹陷病灶,计算机断层扫描显示胃周围肠系膜高密度区。胃活检和切除的肠系膜标本均检测到粘膜相关淋巴组织淋巴瘤。对MALT淋巴瘤(Lugano分期IV期)给予全身化疗,治疗后未发生脑梗死。我们的结论是,与MALT淋巴瘤相关的Trousseau综合征播散到肠系膜脂肪组织。MALT淋巴瘤在Trousseau综合征中发生的可能性很小。
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Trousseau症候群として発症した腸間膜への播種をともなった胃mucosa-associated lymphoid tissue(MALT)リンパ腫の1症例
: A 66-year-old man with recurrent stroke within a short period of time was referred to our department from the neurology department to rule out any malignancy. An endoscopic examination revealed a white depressed lesion in the body of the stomach, and computed tomography revealed a high-density area in the mesentery around the stomach. A mucosa-associated lymphoid tissue (MALT) lymphoma was detected from both the stomach biopsy and resected mesenteric specimen. Systemic chemotherapy was administered for the MALT lymphoma (Lugano classification stage IV). Cerebral infarction did not occur after the treatment. We concluded that Trousseau syndrome associated with the MALT lymphoma disseminated to the mesenteric adipose tissue. A MALT lymphoma has a small probability of occurring in Trousseau syndrome.
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