Small intestine lymphomas
Paula Sopirjaková Orcid.org 1, David Belada Orcid.org 2, Marcela Kopáčová Orcid.org 3, Stanislav Rejchrt Orcid.org 4, Jan Bureš Orcid.org 3, Ilja Tachecí Orcid.org 3
1 II. interní gastroenterologická klinika, LF UK a FN Hradec Králové
2 IV. interní hematologická klinika, LF UK a FN Hradec Králové
3 II. interní klinika – gastroenterologie, LF UK a FN Hradec Králové
4 II. interní gastroenterologická klinika LF UK a FN Hradec Králové
Primary malignant tumours of the small intestine are rare; they only represent around 2% of all malignant tumours in the gastrointestinal system. Small intestine lymphomas represent less than one fifth of them. They create a quite heterogeneous group of mainly B-cell type non-Hodgkin's lymphomas. Their more difficult diagnostics ensues from their localisation with a need to use specialised endoscopy, imaging and immunohistochemical methods. Determination of the diagnosis is usually delayed due to the non-specific symptoms of the disease. Quite frequently we can experience complications. A spontaneous perforation of the small intestine requiring an urgent surgical solution occurs in 9% of patients. Capsule endoscopy and balloon enteroscopy, which have so far been the gold standard of the diagnostics of small intestine diseases, have an irreplaceable role in the diagnostics. Co-operation of a gastroenterologist, a pathologist and a hemato-oncologist is necessary as regards early diagnostics and therapy for these diseases as well as for further follow-up care of patients with a small intestine lymphoma.
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