Çölyak hastalığı ve lenfoma tanıları alan bir olgu üzerinden çölyak hastalığı ve lenfoma ilişkisinin değerlendirilmesi

Tüm gastrointestinal sistemde izlenen neoplazmların %2'sinden azı ince barsaklarda ortaya çıkmaktadır[]. Ancak tüm gastrointestinal sistem lenfomalarının %35-40 kadarı ince barsaklarda görülür[,]. İnce barsak lenfomalarında noninvaziv bir tetkik olan ucuz ve her yerde kolaylıkla bulunabilen konvansiyonel baryumlu tetkikler deneyimli ellerde başarılı bir ilk görüntüleme yöntemi olabilmektedir.

Relationship between the celiac disease and the lymphoma: Trough a case of celiac disease with lymphoma

Malignant small bowel neoplasms account for less than 2% of the gastrointestinal tract (GI) malignancies. In contrast, 35-40% percent of GI lymphomas are located in the small intestine. Barium meal and follow through examination which are noninvasive, cheap and easy to perform may be a successful first step radiological investigation at the evalution of small intestine lymphomas, when performed in experienced hands.

___

  • 1) Gore RM, Mehta UK, Berlin JW, Rao V, Newmark GM. Diagnosis and staging of small bowel tumours .Cancer Imaging. 2006,29; 6:209-12
  • 2) Gourtsoyiannis N., Grammmatikakis J., Prassopoulos P. Role of conventional radiology in the diagnosis and staging of gastrointestinal tract neoplasms. Seminars in Surgical Onkology. 2001; 20:91-108 .
  • 3) Gourtsoyiannis Nolan D. J. Lymphoma of the Small İntestine: Radiological Appearences. Clinical Radiology. 1988; 39:639-645.
  • 4) Howdle PD, Jalal PK, Holmes GK, Houlston RS. Primary smallbowel malignancy in the UK and its association with coeliac disease. QJM. 2003; 96:345-53.
  • 5) Kawai T., Tada T., Yoshıfumı Y, Takashı J, Makoto I. Lymphoma arising in mucosa-associated lymphoid tissue of the duodenal bulb. J.Gastroenterol 1998; 33:97-101.
  • 6) Iida M., Suekane H., Tada S. ve ark. Double-contrast radiographic features in primary small intestinal lymphoma of the �western� type: correlation with pathological findings. Clinical Radiology. 1991; 44:322-326.
  • 7) Delfino M, Baratta L, Ferrannini M ve ark. Primary non- Hodgkin�s lymphoma of the intestine associated with asymtomatic celiac disease in adults. Recenti Prog Med. 1997; 88:73-5.
  • 8) Rodrigo Luis.. Celiac disease. World J Gastroenterol. 2007; 12:6585-6593.
  • 9) Dewar DH., Ciclitira PJ. Clinical features of diagnosis of celiac diseases. Gastroenterology. 2005; 128:19-24.
  • 10) Wofgang H., Wolfgang F.C. Celiac disease Orhanet J Rare. 2006; 1:3.
  • 11) Catassi C, Bearzi I, Holmes GKAssociation of celiac disease and intestinal lymphomas and other cancers. Gastroenterology. 2005; 128:79-86.
  • 12) Leffler D, Saha S, Farrell RJ. Celiac disease. Am J Manag Care. 2003; 9:825-31.
  • 13) Goddard CJ, Gilette HR. Complications of celiac disease:are all patients at risk?. Postgrad Med J. 2006; 82:705-12.
  • 14) Beretta L, Boneschi M, Bardella MT, Morganti D, Erba M. Problems of differintial diagnosis of lymphoma and celiac diseases (a case report). Minerva Chir 1997; 52:979-82.
  • 15) Şilit E, Mutlu H., Başekim C, Kızılkaya E. Manyetik rezonanas enteroklizis. Diagnostic and Interventional Radiology. 2002; 8:502-505.
  • 16) Tuncel Ercan . Klinik Radyoloji. 2. baskı, Bursa: Nobel & Güneş Kitabevleri, 2002: 253-284.