Protracted and Tedious-Indolent T Lymphoproliferative Disorder of Gastrointestinal Tract

Anubha Bajaj
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Abstract

Indolent T lymphoproliferative disorder of gastrointestinal tract is an exceptional disorder associated with infiltration of monoclonal T cells within mucosa of gastrointestinal tract. Generally, a non-destructive infiltrate constituted of miniature, monotonous lymphoid cells demonstrating an immuno-phenotype of CD4+ / CD8- or CD4- / CD8+ appears to infiltrate gastrointestinal mucosa. The exceptionally discerned, indolent T lymphoproliferative disorder of gastrointestinal tract commonly arises within middle aged male subjects, frequently manifests with diarrhoea and exemplifies an indolent clinical course. Although small intestine and colon are commonly incriminated, entire gastrointestinal tract may depict the lesions and no segment of the gut is spared. Indolent T lymphoproliferative disorder represents with a chronic clinical course associated with frequent episodes of disease relapse, inadequate response to cogent chemotherapy and extended survival.
胃肠道慢性乏味-惰性T淋巴细胞增生性疾病
胃肠道惰性T淋巴细胞增生性疾病是一种与胃肠道粘膜内单克隆T细胞浸润有关的特殊疾病。一般情况下,胃肠道粘膜浸润是由CD4+ / CD8-或CD4- / CD8+免疫表型的小型、单一淋巴样细胞组成的非破坏性浸润。这种特别明显的胃肠道惰性T淋巴细胞增生性疾病常见于中年男性受试者,常表现为腹泻,临床病程为惰性。虽然小肠和结肠通常是受累的,但整个胃肠道都可能出现病变,肠道的任何部分都不能幸免。惰性T淋巴细胞增生性疾病具有慢性临床病程,与疾病频繁复发、对强化疗反应不足和延长生存期相关。
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