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KMID : 0359020110430010017
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.43 No. 1 p.17 ~ p.20
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A Case of Peripheral T-cell Lymphoma of the Duodenum and Jejunum
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Ak Seoul-Jung
Hwang Chi-Sung
Choi Jae-Won
Park Seung-Keun
Park Hee-Ug
Kim Hye-Sook
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Abstract
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Primary T-cell lymphoma of the duodenum is uncommon, and peripheral T-cell lymphoma of the duodenum is extremely rare. Approximately 90% of primary gastrointestinal lymphomas originate from B-cells and fewer than 10% originate
from T-cells. A peripheral T-cell lymphoma involved in the small intestine is usually detected by complications such as gastrointestinal bleeding, perforation, or obstruction. A 57-year-old man complained of postprandial discomfort and weight
loss of 5 kg for 1 month. An esophagogastroduodenoscopy showed a deep ulcer with blood clots and whitish exudates. We conducted a Whipple’s operation because of the high risk of ulcer perforation and difficulty in distinguishing the ulcer from malignancy. The resected tissue was confirmed as a peripheral T-cell lymphoma. We reported a case of peripheral T-cell lymphoma of the duodenum and jejunum that extended to the pancreatic head where a diffuse lesion was found without any complications or specific symptoms
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KEYWORD
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Duodenum, Peripheral T-cell Lymphoma
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