Magnified single-balloon enteroscopy in the diagnosis of intestinal follicular lymphoma: a case series.
Magnified single-balloon enteroscopy in the diagnosis of intestinal follicular lymphoma: a case series.
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DOI：
10.5217/ir.2018.00003
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发表时间：
2018-10
影响因子：
4.9
通讯作者：
Andoh A
中科院分区：
文献类型：
--
作者：
Takahashi K;Bamba S;Kawahara M;Nishida A;Inatomi O;Sasaki M;Tsujikawa T;Kushima R;Sugimoto M;Kitoh K;Andoh A
本研究的目的是评价放大内镜检查结果在诊断小肠滤泡性淋巴瘤与肠滤泡性淋巴瘤和淋巴管扩张症的比较。回顾性分析了4例滤泡性淋巴瘤和3例小肠淋巴管扩张症患者的临床资料。一个原型放大单气囊肠镜被使用。回顾性分析小肠滤泡性淋巴瘤和淋巴管扩张的表现，以确定小肠滤泡性淋巴瘤的放大内镜表现。4例滤泡性淋巴瘤中3例可见不透明的白色颗粒。不透明的白色颗粒的磁共振窄带成像（NBI）显示拉伸的微血管，具有微小的树状外观。其余患者无不透明白色颗粒，仅显示白色绒毛。磁共振NBI观察白色绒毛显示边缘绒毛上皮细胞的缺失，这通过组织学证实。放大的NBI肠镜显示肠滤泡性淋巴瘤的不透明白色颗粒上有微小的树状外观，白色绒毛的边缘绒毛上皮缺失。这些发现可能有助于滤泡性淋巴瘤的诊断。
The objective of this study was to evaluate the magnified endoscopic findings in the diagnosis of follicular lymphoma in the small intestine in comparison with those of intestinal follicular lymphoma and lymphangiectasia. Four patients with follicular lymphoma and 3 with lymphangiectasia in the small intestine were retrospectively analyzed. A prototype magnifying singleballoon enteroscope was used. The findings of the intestinal follicular lymphoma and lymphangiectasia were retrospectively analyzed to determine the magnified endoscopic findings of follicular lymphoma in the small intestine. Opaque white granules were observed in 3 of the 4 patients with follicular lymphoma. Magnified narrow-band imaging (NBI) of the opaque white granules showed stretched microvessels, which had a diminutive tree-like appearance. The remaining patient had no opaque white granules and only displayed whitish villi. Magnified NBI observation of the whitish villi revealed the absence of marginal villus epithelium, which was confirmed by histology. The magnified NBI enteroscopy revealed the diminutive tree-like appearance on the opaque white granules and the absence of marginal villus epithelium of the whitish villi in intestinal follicular lymphoma. These findings may be useful in diagnosing follicular lymphoma.