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ID 54457
タイトル(別表記)
Magnified observation of spontaneous morphological changes of duodenal follicular lymphoma
著者
岩室 雅也 岡山大学大学院医歯薬学総合研究科 消化器・肝臓内科学
高田 尚良 岡山大学大学院医歯薬学総合研究科 病理学(腫瘍病理)
川野 誠司 岡山大学病院 光学医療診療部
河原 祥朗 岡山大学病院 光学医療診療部
吉野 正 岡山大学大学院医歯薬学総合研究科 病理学(腫瘍病理)
岡田 裕之 岡山大学大学院医歯薬学総合研究科 消化器・肝臓内科学
抄録
 A 63-year-old Japanese woman was diagnosed with duodenal follicular lymphoma. The initial esophagogastroduodenoscopic examination with magnifying observation revealed opaque white spots and enlarged whitish villi. Nine months later, esophagogastroduodenoscopy showed that the size of the lymphoma lesion decreased, and only opaque white spots were visible. The histological analysis of biopsy samples obtained during the initial endoscopy examination showed both neoplastic follicles and an inter-follicular infiltration of lymphoma cells, whereas the biopsy samples obtained at the endoscopy performed 9 months later showed only neoplastic follicle formation. These results suggest that the magnifying endoscopic features may reflect the underlying pathological mechanisms : enlarged whitish villi are probably due to lymphoma cell infiltration in the inter-follicular area, and opaque white spots are probably caused by neoplastic follicle formation.
キーワード
消化管原発濾胞性リンパ腫(primary gastrointestinal follicular lymphoma)
悪性リンパ腫(malignant lymphoma)
拡大内視鏡検査(magnifying endoscopy)
備考
症例報告(Case Reports)
発行日
2016-08-01
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
128巻
2号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
111
終了ページ
116
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
http://www.okayama-u.ac.jp/user/oma/
参考文献
1 ) Harris NL, Swerdlow SH, Jaffe ES, Ott G, Nathwani BN, de Jong D, Yoshino T, Spagnolo D : Follicular lymphoma ; in World Health Organization Classification of Tumours of Haematopoietic and Lymphoid Tissues, Swerdlow SH, Campo E, Harris NL, Jaffe ES, Pileri SA, Stein H, Thiele J, Vardiman JW (eds) , IARC Press, Lyon (2008) pp 220-226.
2 ) 品川 慶, 北台靖彦, 児玉美千世, 井川 敦, 田中雄一朗, 中野 誠, 弓削 亮, 青山大輝, 斧山美恵子, 亘 育江, 岡 志郎, 田中信治, 他 : 消化管原発low-grade lymphoma 濾胞性リンパ腫とマントル細胞リンパ腫 濾胞性リンパ腫の診断と治療 診断. 胃と腸(2014) 49, 656-663.
3 ) Yoshino T, Miyake K, Ichimura K, Mannami T, Ohara N, Hamazaki S, Akagi T : Increased incidence of follicular lymphoma in the duodenum. Am J Surg Pathol (2000) 24, 688-693.
4 ) 岩室雅也, 吉岡正雄, 小川恒由, 伊藤 守, 石山修平, 藤原明子, 大家昌源, 塩出純二, 山本和秀, 能勢聡一郎, 浜家一雄, 糸島達也 : 十二指腸原発follicular lymphoma の5 例. Gastroenterological Endoscopy(2006)48, 2289-2294.
5 ) Takata K, Okada H, Ohmiya N, Nakamura S, Kitadai Y, Tari A, Akamatsu T, Kawai H, Tanaka S, Araki H, Yoshida T, Okumura H, et al. : Primary gastrointestinal follicular lymphoma involving the duodenal second portion is a distinct entity : a multicenter, retrospective analysis in Japan. Cancer Sci (2011) 102, 1532-1536.
6 ) Yamamoto S, Nakase H, Yamashita K, Matsuura M, Takada M, Kawanami C, Chiba T : Gastrointestinal follicular lymphoma : review of the literature. J Gastroenterol (2010) 45, 370-388.
7 ) Nakase H, Matsuura M, Mikami S, Chiba T : Magnified endoscopic view of primary follicular lymphoma at the duodenal papilla. Intern Med (2007) 46, 141-142.
8 ) Higuchi K, Komatsu K, Wakamatsu H, Kawasaki H, Murata M, Miyazaki K, Oikawa K, Ohwada M, Nanjo H, Otaka M, Watanabe S, Komatsu K : Small intestinal follicular lymphoma with multiple tumor formations diagnosed by double-balloon enteroscopy. Intern Med (2007) 46, 705-709.
9 ) Inoue N, Isomoto H, Shikuwa S, Mizuta Y, Hayashi T, Kohno S : Magnifying endoscopic observation of primary follicular lymphoma of the duodenum by using the narrow-band imaging system. Gastrointest Endosc (2009) 69, 158-159.
10) Chowdhury M, Endo M, Chiba T, Kudara N, Oana S, Sato K, Akasaka R, Tomita K, Fujiwara S, Mizutani T, Sugai T, Takikawa Y, et al. : Characterization of follicular lymphoma in the small intestine using double-balloon endoscopy. Gastroenterol Res Pract (2009) 2009, 835258.
11) Norimura D, Isomoto H, Niino D, Akazawa Y, Yamaguchi N, Ohnita K, Shikuwa S, Takeshima F, Nakao K : Magnified endoscopic observation with Fuji Intelligent Chromo Endoscopy of primary duodenal follicular lymphoma. Endoscopy (2010) 42, E320-321.
12) Norimura D, Isomoto H, Imaizumi Y, Akazawa Y, Matsushima K, Inoue N, Yamaguchi N, Ohnita K, Shikuwa S, Arima T, Hayashi T, Takeshima F, et al. : Case series of duodenal follicular lymphoma, observed by magnified endoscopy with narrow-band imaging. Gastrointest Endosc (2011) 74, 428-434.
13) Iwamuro M, Okuda M, Yumoto E, Suzuki S, Shirakawa A, Takata K, Yoshino T, Okada H, Yamamoto K : Magnifying endoscopy for intestinal follicular lymphoma is helpful for prompt diagnosis. Gut Liver (2013) 7, 258-261.
14) Iwamuro M, Okada H, Takata K, Fujii N, Kawano S, Kawahara Y, Yoshino T, Yamamoto K : Magnifying endoscopic observation of duodenal involvement of follicular lymphoma before and after chemotherapy. Intern Med (2015) 54, 1741-1745.
15) Hermans J, Krol AD, van Groningen K, Kluin PM, Kluin-Nelemans JC, Kramer MH, Noordijk EM, Ong F, Wijermans PW : International Prognostic Index for aggressive non-Hodgkin's lymphoma is valid for all malignancy grades. Blood (1995) 86, 1460-1463.
16) Federico M, Bellei M, Marcheselli L, Luminari S, Lopez-Guillermo A, Vitolo U, Pro B, Pileri S, Pulsoni A, Soubeyran P, Cortelazzo S, Martinelli G, et al. : Follicular lymphoma international prognostic index 2 : a new prognostic index for follicular lymphoma developed by the international follicular lymphoma prognostic factor project. J Clin Oncol (2009) 27, 4555-4562.
17) Iwamuro M, Okada H, Takata K, Kawai Y, Kawano S, Nasu J, Kawahara Y, Tanaka T, Yoshino T, Yamamoto K : Magnified endoscopic features of duodenal follicular lymphoma and other whitish lesions. Acta Med Okayama (2015) 69, 37-44.
18) Hayashi H, Onishi Y, Mitsuoka H, Ogura T, Maeda M, Nishigami T, Harada M : Regression of follicular lymphoma of the duodenum following eradication of H. pylori infection. Intern Med (2013) 52, 2611-2614.
19) Toyoda H, Yamaguchi M, Nakamura S, Nakamura T, Kimura M, Suzuki H, Mukai K, Sawa H, Kawamura K, Shiku H : Regression of primary lymphoma of the ampulla of Vater after eradication of Helicobacter pylori. Gastrointest Endosc (2001) 54, 92-96.
20) Schmatz AI, Streubel B, Kretschmer-Chott E, Puspok A, Jager U, Mannhalter C, Tiemann M, Ott G, Fischbach W, Herzog P, Seitz G, Stolte M, et al. : Primary follicular lymphoma of the duodenum is a distinct mucosal/submucosal variant of follicular lymphoma : a retrospective study of 63 cases. J Clin Oncol (2011) 29, 1445-1451.
21) Dreyling M, Ghielmini M, Marcus R, Salles G, Vitolo U ; ESMO Guidelines Working Group : Newly diagnosed and relapsed follicular lymphoma : ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol (2011) 22, vi59-63.
22) Iwamuro M, Okada H, Shinagawa K, Takata K, Yoshino T, Yamamoto K : Regression of duodenal follicular lymphoma : susceptible to H. pylori eradication? Intern Med (2014) 53, 1397.
言語
Japanese
OAI-PMH Set
岡山大学
著作権者
Copyright (c) 2016 岡山医学会
論文のバージョン
publisher
査読
有り
Sort Key
6
Eprints Journal Name
joma