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A Case of Peripheral T-cell Lymphoma of the Duodenum and Jejunum  

Yueh, Hsueh Chen (Department of Internal Medicine, Maryknoll Medical Center)
Hwang, Chi-Sung (Department of Internal Medicine, Maryknoll Medical Center)
Choi, Jae-Won (Department of Internal Medicine, Maryknoll Medical Center)
Park, Seung-Keun (Department of Internal Medicine, Maryknoll Medical Center)
Park, Hee-Ug (Department of Internal Medicine, Maryknoll Medical Center)
Kim, Hye-Sook (Department of Pathology, Maryknoll Medical Center)
Publication Information
Clinical Endoscopy / v.43, no.1, 2011 , pp. 17-20 More about this Journal
Abstract
Primary T-cell lymphoma of the duodenum is uncommon, and peripheral T-cell lymphoma of the duodenum is extremely rare. Approximately 90% of primary gastrointestinal lymphomas originate from B-cells and fewer than 10% originate from T-cells. A peripheral T-cell lymphoma involved in the small intestine is usually detected by complications such as gastrointestinal bleeding, perforation, or obstruction. A 57-year-old man complained of postprandial discomfort and weight loss of 5 kg for 1 month. An esophagogastroduodenoscopy showed a deep ulcer with blood clots and whitish exudates. We conducted a Whipple's operation because of the high risk of ulcer perforation and difficulty in distinguishing the ulcer from malignancy. The resected tissue was confirmed as a peripheral T-cell lymphoma. We reported a case of peripheral T-cell lymphoma of the duodenum and jejunum that extended to the pancreatic head where a diffuse lesion was found without any complications or specific symptoms.
Keywords
Duodenum; Peripheral T-cell lymphoma;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Cheon JH, Seo SO, Kim SG, et al. A case of primary gastrointestinal peripheral T-cell lymphoma with massive bleeding. Korean J Gastroenterol 2000;36:260-266.
2 Kim YH, Song TJ, Ryu HS, et al. A case of primary T-cell lymphoma of the duodenum. Korean J Intern Med 1991;6:44-50.
3 Kim WS, Lee KM, Koh BR, et al. Primary peripheral T-cell lymphoma of the stomach and duodenum. Korean J Gastrointest Endosc 2004;28:242-246.
4 Kim SW, Lim YJ, Kim HW, et al. A case of peripheral T-cell lymphoma presenting with small bowel perforation. Korean J Gastrointest Endosc 2008;37:40-44.
5 Mizobuchi S, Yamashiro T, Ohmori Y, Ogoshi S, Sonobe H. Primary T-cell lymphoma of the duodenum: report of a case. Surg Today 1999;29:354-357.   DOI   ScienceOn
6 Chun JO, Sung HJ, Jeon YC, Lee MS, Kim WJ. A case of the concurrent malignant lymphoma of the stomach, duodenum and colon. Korean J Gastroenterol 1994;26:353-357.
7 Dawson IM, Cornes JS, Morson BC. Primary malignant lymphoid tumors of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961;49:80-89.   DOI   ScienceOn
8 Kim SG, Choi JY, Im EH, et al. Primary malignant lymphoma of the small intestine. Korean J Gastroenterol 1995;27:251-255.
9 Yu JH, Choi KD, Koh YW, et al. A case of CD56+ extranodal NK/T-cell lymphoma, nasal type, presenting as a duodenal ulcer bleeding. Korean J Gastroenterol 2009;54:174-179.   DOI   ScienceOn