Journal of clinical and experimental hematopathology : JCEH · 2020
Indolent T-cell lymphoproliferative disorder of the stomach successfully treated by radiotherapy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Takahashi Naoki, Tsukasaki Kunihiro, Kohri Mika, Akuzawa Yu, Saeki Tsuyoshi, Okamura Daisuke, Ishikawa Maho, Maeda Tomoya, Kawai Nobutaka, Matsuda Akira, Arai Eiichi, Arai Shin, Asou Norio
Аннотация
Successful treatment of indolent T-cell lymphoproliferative disorder of the gastrointestinal tract (ITLPDGI) by chemotherapy is rare and watchful waiting is often performed for asymptomatic patients. We report a case of ITLPDGI successfully treated by involved field radiotherapy (IFRT). The patient presented with slow ITLPDGI localised to the stomach with mild symptoms. IFRT (30 Gy/20f) was administered, after which endoscopy revealed resolution of lesions and blood vessel appearance, and absence of proliferating abnormal lymphocytes was confirmed by biopsy. The patient remains lymphoma-free 1 year post-treatment. Although long-term follow-up and additional cases are essential for the evaluation of IFRT as a treatment option for localised ITLPDGL, complete remission after relatively low-dose IFRT is promising, particularly as this has been rarely achieved by chemotherapy.