內視鏡診斷小腸淋巴瘤－病例報告

小腸惡性腫瘤是罕見且不易診斷之疾病。因其不易診斷往往為患者帶來悲觀之預後。歐美國家之小腸腫瘤中，淋巴瘤所佔比例甚小，但在台灣淋巴瘤卻是小腸惡性腫瘤中最多者。本報告提出一例以慢性腹瀉及體重減輕表現之原發性小腸淋巴瘤，其臨床症狀、腫瘤發生部位、發生年齡、生長背景、血清免疫電泳分析結果，均與所謂地中海型淋巴療相符合。此例是因臨床高度懷疑，而以內視鏡切片診斷的。本文強調內視鏡對此疾病診斷之重要性。

關鍵字

小腸；淋巴瘤；內視鏡；診斷

並列摘要

Malignant tumors of the small intestine are rare and difficult to diagnose. The difficulty in early diagnosis often brings poor prognosis to the patients. In western countries, lymphoma accounts for only a small part of small intestinal malignancies, but in Taiwan, it is the most common type of malignant small intestinal tumors. We report a patient of small intestinal lymphoma, presenting with chronic diarrhea and body weight loss. The clinical symptoms, tumor location, age of onset, result of serum immunoelectrophoresis, and development back-ground of this patient are all compatible with the so called “Mediterranean lymphoma”. The diagnosis of this case was made by high index of suspicion and was confirmed by endoscopic biopsy. The importance of endoscopy in the diagnosis of small intestinal tumors is emphasized.

並列關鍵字

small intestine ； lymphoma ； endoscopy ； diagnosis

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內視鏡診斷小腸淋巴瘤－病例報告

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