- 期刊
Burkitt's Lymphoma with Intussusception Mimicking A Colonic Polyp
疑似結腸息肉Burkitt淋巴癌合併腸套疉
摘要
Burkitt淋巴癌罕見於亞洲兒童，但在兒童腸胃惡性腫瘤之鑑別診斷中，屬重要疾病。此病極少於術前診斷出，有關術前之內視鏡報告更屬稀少。本病例是一位兩歲七個月男孩，因無痛性血便接受大腸鏡檢查，發現在極靠近迴盲瓣之昇結腸，有一個表面潰瘍，寬底的息肉狀物。手術中發現迴腸一結腸型腸套疉，由一個位於末端迴腸黏膜下腫瘤所引起。病理檢查證實在Burrkitt淋巴癌，病人在化學藥物治療後，至今-二十七個月，無明顯復發現象。本病例提供一個重要的臨床經驗：對於位於昇結腸始端之寬底息肉狀物，必須將腸套疉列入鑑別診斷：尤其是末端迴腸Burkitt淋巴癌所引起者。
並列摘要
A 2-year-7-month old boy, presented with painless bloody stool was initially found to have an ulcerative, wide-based polyp in the ascending colon near the ileocecal region by colonoscopy. He received operation due to subsequent intussusception. Pathologic examination revealed an unusual case of polypoid Burkitt’s lymphoma. The patient lives well 20 months later after receiving a standard chemotherapy. This case reminds us that colonic polyp and intussusception which is caused by Burkitt’s lymphoma should be included in the differential diagnosis for a “wide-based polypoid “mass in the ascending colon.
延伸閱讀
- Lu, I. L. (2014). 盲腸腺狀鱗狀上皮癌合併轉位異常及腸套疊. 台灣癌症醫學雜誌, 30(1), 70-74. https://doi.org/10.6323/JoCRP.2014.30.1.10
- Chen, J. S., & Liu, C. K. (2015). 升結腸癌合併單一、同時性肚臍轉移. 台灣癌症醫學雜誌, 2(4), 319-324. https://doi.org/10.6323/JCRP.2015.2.4.7
- Liu, C. K., & Yang, F. S. (2006). 結腸癌併發腸套疊：病例報告. 中華民國癌症醫學會雜誌, 22(3), 35-47. https://doi.org/10.6588/JCOS.2006.22.3.2
- 康曉妍、周騰達、陳子安（2010）。結腸癌併發腸套疊：病例報告。台灣急診專科醫師期刊，2(1)，28-32。https://doi.org/10.29749/JTCEP.201003.0006
- Huang, C. S., Chen, C. F., Chung, M. T., & Lin, H. C. (2009). 迴盲瓣惡性淋巴瘤引起的腸套疊. 中華民國大腸直腸外科醫學會雜誌, 20(4), 100-103. https://doi.org/10.6312/SCRSTW.2009.20(4).09808