Non-Hodgkin small intestine t-cell Lymphoma: a case report
DOI:
https://doi.org/10.24859/SaberDigital.2022v15n3.1384Keywords:
Primary gastrointestinal lymphoma, Lymphoid neoplasms, Treatment.Abstract
Introduction: Primary non-Hodgkin lymphoma (NHL) of the gastrointestinal tract is rare, accounting for about 1% - 4% of all gastrointestinal malignancies and is most common in the stomach and small intestine. Case report: A 41-year-old man presented with abdominal pain, nausea, hyporexia, intestinal constipation and weight loss of approximately 15 kg in a period of 2 months. Discussion: Abdominal pain is the most common clinical manifestation. Early diagnosis is often difficult. Some radiological features are suggestive of lymphoma, but histopathological and immunohistochemical analysis is necessary for a definitive diagnosis. Surgery associated with chemotherapy is the most commonly performed therapy. The survival rate of patients with small bowel NHL is low. Conclusion: In our case, the diagnosis was made based on histopathology and immunohistochemistry. The patient underwent standard chemotherapy treatment, with disease relapse and requiring another salvage chemotherapy treatment, and then underwent autologous bone marrow transplantation. As he had a second relapse, he started another rescue chemotherapy regimen and was referred for an allogeneic bone marrow transplant.
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