South Clin Ist Euras. 2017; 28(4): 297-299 | DOI: 10.14744/scie.2018.35220

Primer Duedonal Mukoza Kökenli Lenfoid Doku Lenfomasý (MALToma): Olgu Sunumu

Arzu Cennet Iþýk¹, Seydahmet Akýn¹, Mesut Ayer², Tuðba Sevinç Gamsýz¹, Begüm Damla Þencan³, Özcan Keskin^1
1Saðlýk Bilimleri Üniversitesi Kartal Dr. Lütfi Kýrdar Eðitim ve Araþtýrma Hastanesi. Ýç Hastalýklarý Kliniði
²Saðlýk Bilimleri Üniversitesi Haseki Eðitim ve Araþtýrma Hastanesi Hematolog.
³Saðlýk Bilimleri Üniversitesi Kartal Dr. Lütfi Kýrdar Eðitim ve Araþtýrma Hastanesi. Radyoloji Kliniði

Primer duodenal MALT (Mucosa Associated Lymphoid Tissue) lenfoma non-Hodgkin lenfomanýn (NHL) nadir görülen bir türüdür ve en sýk midede saptanmaktadýr. Yirmi yaþýnda erkek hastamýz; progresif þekilde kusma, kilo kaybý ve karýn aðrýsý nedeniyle tarafýmýza baþvurdu. Ýki kez yapýlan gastroduodenoskopide belirgin özellik olmamasý ve þikayetlerinin devamý üzerine istenen çift kontrast baryum incelemesinde duodenumda dolum defekti saptandý. Helicobacter pylori pozitifliði de bulunan hastadan alýnan biyopsi örneðinde kötü diferansiye B hücreli MALT lenfoma teþhisi konuldu.

Anahtar Kelimeler: Çift kontrast baryum incelemesi, duedonal lenfoma; MALToma; non-Hodgkin lenfoma.

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Primary Duodenal Mucosa-Associated Lymphoid Tissue Lymphoma (MALToma): A Case Report

Arzu Cennet Iþýk¹, Seydahmet Akýn¹, Mesut Ayer², Tuðba Sevinç Gamsýz¹, Begüm Damla Þencan³, Özcan Keskin^1
1Department of Internal Medicine, Kartal Dr. Lütfi Kýrdar Training and Research Hospital, Ýstanbul, Turkey
²Department of Haematology, Haseki Training and Research Hospital, Ýstanbul, Turkey
³Department of Radiology, Kartal Dr. Lütfi Kýrdar Training and Research Hospital, Ýstanbul, Turkey

Primary duodenal mucosa-associated lymphoid tissue (MALT) lymphoma is the most rarely seen type of non-Hodgkin lymphoma and is diagnosed most commonly in the stomach. A 20-year-old male patient presented with progressive vomiting, weight loss, and abdominal pain. There was nothing remarkable on 2 consecutive gastroduodenoscopies, but his complaints persisted. A double-contrast barium examination was performed, which revealed a filling defect in the duodenum. A biopsy specimen from the patient determined the presence of Helicobacter pylori and the patient was diagnosed with poorly-differentiated B-cell MALT lymphoma Successful chemotherapy and H. pylori eradication therapy were performed and follow-up revealed no recurrence.

Keywords: Double contrast barium bowel graphy, duedonal lymphoma, MALToma; non-Hodgkin lymphoma.

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