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Isolation of Human Lymphatic Endothelial Cells by Multi-parameter Fluorescence-activated Cell Sorting
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Intestinal T-cell lymphomas NOS presenting as a polypoidal lesion: A case report
Hanxin Bi1, Junfang Bai, Limei Wang
1The Second People's Hospital of Shaanxi Province, Xi'an, Shaanxi Province, China.
Medicine
|June 7, 2024
Summary
Endoscopic evaluation is crucial for diagnosing rare intestinal T-cell lymphomas (ITCL). Vigilance is needed as polypoid lesions can have independent histopathological features, even with chemotherapy.
Area of Science:
- Gastroenterology
- Oncology
- Pathology
Background:
- Intestinal T-cell lymphomas (ITCL) are rare and challenging to diagnose.
- Endoscopy is key for early detection of ITCL.
- Enhanced understanding of endoscopic features is vital for endoscopists.
Observation:
- A 74-year-old male presented with wasting and multiple polypoid lesions in the large intestine.
- One sigmoid colon polypoid lesion was diagnosed as intestinal T-cell lymphoma, not otherwise specified (ITCL-NOS).
Findings:
- The patient received intensity-reduced CHOP therapy.
- Disease is controlled, but chemotherapy-related side effects occurred.
Implications:
- Endoscopy should be prompt for unexplained anemia and wasting.
- Caution is advised for all polypoid lesions due to potential independent histopathological features.
- Routine terminal ileum observation and biopsy are recommended for endoscopists.
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