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Monomorphic Epitheliotropic Intestinal T-cell Lymphoma With Initial Pulmonary Symptoms: A Case Report
Amy Yeung1, TaeHoon Kim1, Jason Suh2
1Department of Internal Medicine, Valley Health System/Icahn School of Medicine at Mount Sinai, Paramus, USA.
Cureus
|March 21, 2025
Summary
Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) can present with rare lung involvement alongside gastrointestinal symptoms. Early diagnosis through biopsy is crucial for this aggressive T-cell lymphoma.
Area of Science:
- Oncology
- Hematology
- Gastroenterology
Background:
- Monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL) is an aggressive T-cell neoplasm.
- It predominantly affects the small intestine, with limited data on extraintestinal manifestations.
Observation:
- A 60-year-old woman presented with respiratory symptoms (dyspnea, cough, hemoptysis) and subsequent gastrointestinal issues.
- Imaging revealed cavitary lung masses, and endoscopic evaluation showed duodenal nodularity and gastric ulcers.
Findings:
- Biopsies confirmed MEITL with a specific immunophenotype: TCR-delta+, CD8+, CD56+, and CD103+.
- Colonoscopy revealed diffuse colonic inflammation, indicating widespread disease.
Implications:
- This case highlights rare pulmonary involvement in MEITL, expanding knowledge of its extraintestinal spread.
- Clinicians should consider MEITL in patients with concurrent pulmonary and GI symptoms, necessitating prompt biopsy for diagnosis and treatment.
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