Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

拡大内視鏡検査にて形態変化を観察しえた十二指腸濾胞性リンパ腫の1 例

岩室 雅也 岡山大学大学院医歯薬学総合研究科 消化器・肝臓内科学
高田 尚良 岡山大学大学院医歯薬学総合研究科 病理学(腫瘍病理)
川野 誠司 岡山大学病院 光学医療診療部
河原 祥朗 岡山大学病院 光学医療診療部
吉野 正 岡山大学大学院医歯薬学総合研究科 病理学(腫瘍病理)
岡田 裕之 岡山大学大学院医歯薬学総合研究科 消化器・肝臓内科学
抄録
 A 63-year-old Japanese woman was diagnosed with duodenal follicular lymphoma. The initial esophagogastroduodenoscopic examination with magnifying observation revealed opaque white spots and enlarged whitish villi. Nine months later, esophagogastroduodenoscopy showed that the size of the lymphoma lesion decreased, and only opaque white spots were visible. The histological analysis of biopsy samples obtained during the initial endoscopy examination showed both neoplastic follicles and an inter-follicular infiltration of lymphoma cells, whereas the biopsy samples obtained at the endoscopy performed 9 months later showed only neoplastic follicle formation. These results suggest that the magnifying endoscopic features may reflect the underlying pathological mechanisms : enlarged whitish villi are probably due to lymphoma cell infiltration in the inter-follicular area, and opaque white spots are probably caused by neoplastic follicle formation.
キーワード
消化管原発濾胞性リンパ腫(primary gastrointestinal follicular lymphoma)
悪性リンパ腫(malignant lymphoma)
拡大内視鏡検査(magnifying endoscopy)
備考
症例報告(Case Reports)
ISSN
0030-1558
NCID
AN00032489