肠道T细胞淋巴瘤临床分析

本文总结报告了3例肠道T细胞淋巴瘤(intestinal T-cell lymphoma，ITCL)的诊治资料，并结合文献复习，发现IT—CL多见于中年男性，以腹痛、血便、发热、体质量下降为主要症状，治疗效果差，预后不良。病理改变以肠道溃疡形成为特点，溃疡形态呈多形性、多灶性、不规则，镜下瘤细胞明显异型、弥漫性浸润，中至大细胞多见。肿瘤细胞呈T细胞表型。ITCL临床少见，缺乏特异性临床表现，极易误诊。故临床医师应重视对ITCL临床病理特征、免疫表型和基因型的研究，注意识别，促其早期诊治。

Clinical analysis of intestinal T-cell lymphoma

Three cases of intestinal T cell lymphoma(ITCL) were retrospectively reviewed in this study. Clinically, most patients with ITCL were middle aged males with abdominal pain, hematochezia,fever and weight loss. The outcome of treatment was worse with an extremely poor prognosis. The pathologic changes appeared to be the formation of intestianl ulcer manifested with multiplicity of shape,multifocal and unregularities. Tumor cells under microscopy were various obviously with diffused infiltration and medium to large cells were seen frequently. ITCL was often misdiagnosed because of clinical rarity and lack of characteristic manifestations, so physicians must pay more attention to the research of clinicopathological data,immunohistochemical features and gene type, so as to make early and correct diagnosis.