INTESTINE Vol.19 No.3(2-1)


特集名 腸管悪性リンパ腫
題名 臨床 (1) 腸管MALTリンパ腫
発刊年月 2015年 05月
著者 中村 昌太郎 岩手医科大学医学部内科学講座消化器内科消化管分野
著者 松本 主之 岩手医科大学医学部内科学講座消化器内科消化管分野
【 要旨 】 腸管MALTリンパ腫の診断および治療の現況について概説した.本症は腸管のあらゆる部位に発生するが,回腸,結腸および十二指腸に好発する.肉眼型では隆起型と潰瘍型が多い.治療法は抗菌薬治療,外科切除,化学療法,リツキシマブ免疫療法,放射線療法など多岐にわたるが,予後はきわめて良好であるため,侵襲の低い治療を優先することが望ましい.
Theme Intestinal malignant lymphoma
Title Diagnosis and management of intestinal MALT lymphoma
Author Shotaro Nakamura Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University
Author Takayuki Matsumoto Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University
[ Summary ] We reviewed recent trends in the clinical diagnosis and treatment strategy for patients with intestinal mucosa-associated lymphoid tissue (MALT) lymphoma. While this lymphoma can develop in any segment of the intestinal tract, the most frequently involved site is the ileum, followed by the colon and the duodenum. Macroscopically, polypoid and ulcerative forms are predominant. The therapeutic strategies, including antibiotic treatment, surgical resection, chemotherapy, rituximab immunotherapy, radiotherapy, or a combination of these, should be determined based on the disease location and clinical stage in each patient. Because the prognosis is excellent, a less invasive management is suitable for patients with intestinal MALT lymphoma.
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