息肉样黏膜相关淋巴组织淋巴瘤引起胃出口梗阻1例报告并文献复习

Chakib Khoury , Rebal Nahas , Karam Karam , Emanuel-Youssef Dib , Elias Fiani
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引用次数: 0

摘要

胃粘膜相关淋巴组织(MALT)淋巴瘤是胃肠道最常见的结外淋巴瘤类型。MALT淋巴瘤通常表现为恶心和上腹部不适等非特异性症状。病变通常位于腔内或沿大、小曲率。已知与幽门螺杆菌感染高度相关,根除疗法已成为治疗胃MALT淋巴瘤的标准疗法。我们在此报告一例34岁男性,有胃出口梗阻(GOO)症状,发现有幽门周围病变阻塞胃,立即内镜粘膜切除术(EMR)通过热陷阱息肉切除术和幽门螺杆菌根除治疗。随访3个月和12个月的内窥镜检查未见复发。也就是说,胃息肉切除术是治疗伴有梗阻性症状的胃MALT淋巴瘤的金标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A polypoid mucosa-associated lymphoid tissue lymphoma causing gastric outlet obstruction: A case report and literature review
Gastric mucosa-associated lymphoid tissue (MALT) lymphoma is the most frequent extra-nodal lymphoma type of the gastrointestinal tract. MALT lymphomas typically present with non-specific symptoms of nausea and epigastric discomfort. Lesions are commonly situated within the antrum or along the greater and lesser curvatures. Known to be highly associated with Helicobacter pylori infection, eradication therapy has been the standard in treating gastric MALT lymphomas. We herein present a case of a 34-year-old male with symptoms of gastric outlet obstruction (GOO), found to have a peri-pyloric lesion obstructing the stomach, treated with immediate endoscopic mucosal resection (EMR) via hot-snare polypectomy and H. pylori eradication therapy. Follow-up endoscopies at 3 and 12 months showed no recurrence. That said, gastric polypectomy is the gold standard of management of gastric MALT lymphoma that present with obstructive symptoms.
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