A Case of Multiple Primary T-cell Malignant Lymphomas of the Duodenum and Small Intestine

Yuji Masaki, Toshimasa Okada and Yoshito Sadahira^*

Department of Surgery, Okamura Isshindou Hospital ^*Department of Pathology, Kawasaki Madical School

We report a case with multiple T-cell malignant lymphomas of the duodenum and small intestine, which caused perforated panperitonitis. A 75-year-old man was hospitalized because of an upper abdominal pain. An endoscopy showed a duodenal ulcer, and immunohistochemical staining of the biopsy specimens revealed the presence of T-cell malignant lymphoma. Since the patient refused to undergo an operation, CHOP combination chemotherapy was performed. After 4 months of chemotherapy, the patient was admitted for severe epigastralgia. An abdominal CT examination showed the presence of free air, so an emergency operation was performed. Multiple tumorous lesions in the jejunum were observed, one of which had been perforated, T-cell malignant lymphoma is very rare, and its prognosis is much poorer than that of B-cell lymphomas.

Key words
T-cell malignant lymphoma, multiple

Reprint requests
Yuji Masaki Department of Surgery, Okamura Isshindou Hospital 2-1-7 Saidaiji-Minami, Okayama, 704-8117 JAPAN

Accepted
June 28, 2000

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