Adult T-cell leukemia/lymphoma presenting multiple lymphomatous polyposis

作     者：Akira Hokama Takeaki Tomoyose Yu-ichi Yamamoto Takako Watanabe Tetsuo Hirata Fukunori Kinjo Seiya Kato Koichi Ohshima Hiroshi Uezato Nobuyuki Takasu Jiro Fujita 

作者机构：Department of Medicine and Therapeutics (First Department of Internal Medicine) Control and Prevention of Infectious Disease Faculty of Medicine University of the Ryukyus Okinawa 903-0125 Japan Department of Endocrinology and Metabolism Faculty of Medicine University of the Ryukyus Okinawa 903-0215 Japan Department of Dermatology Faculty of Medicine University of the Ryukyus Okinawa 903-0215 Japan Department of Endoscopy Ryukyu University Hospital Okinawa 903-0215 Japan Division of Pathology and Cell Biology GraduateSchool and Faculty of Medicine University of the RyukyusOkinawa 903-0215 Japan Department of Pathology School of Medicine Kurume University Fukuoka 830-0011 Japan 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2008年第14卷第42期

页      面：6584-6588页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：成人 T细胞 白血病 淋巴瘤 

摘      要：Multiple lymphomatous polyposis (MLP) is an unusual form of non-Hodgkin s lymphoma characterized by polyps throughout the gastrointestinal tract. It has been reported that most MLP are observed in cases with mantle cell lymphoma of B-cell type. We herein present a case of a 66-year-old man with adult T-cell leukemia/lymphoma (ATLL). Colonoscopy revealed MLP throughout the colon and histopathological findings of ATLL cell infiltration. The patient died despite combination of chemotherapy. The literature of manifestations of colonic involvement of ATLL isreviewed and the importance of endoscopic evaluation to differentiate ATLL intestinal lesions from opportunistic infectious enterocolitis is discussed.