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Lymphomes du tractus gastro-intestinal: types rares

Lymphomas of the gastro-intestinal tract: uncommon types

  • Published:
Acta Endoscopica

Résumé

Bien que, comparés aux carcinomes, les lymphomes du tractus digestif soient extrêment rares, leur incidence est croissante. Cette croissance peut s'expliquer par une augmentation de l'incidence des perturbation liées à l'immunodéficience, elles-mêmes associées à une augmentation du risque de développer des lymphomes gastro-intestinaux. Les lymphomes gastro-intestinaux sont principalement des lymphomes B de type diffus à grandes cellules et des lymphomes de la zone marginale. Malgré la rareté des autres types de lymphomes tels les lymphomes du manteau, les lymphomes folliculaires ou les lymphomes T associés a une entéropathie, la classification REAL tout comme la classification publiée récemment par l'OMS, considèrent ces lymphomes comme des entités distinctes en se basant sur leur morphologie, l'immunohistochimie, la cytogénétique et leur présentation clinique.

Summary

Although, in comparison to gastro-intestinal carcinomas, lymphomas of the gastro-intestinal tract are extremely rare, the incidence of these tumours is rising. This rise may be explained by the increasing incidence of immunodeficiency disorders, as these disorders are associated with an increased risk for development of gastro-intestinal lymphomas. Gastro-intestinal lymphomas are mainly diffuse large B-cell lymphomas and marginal zone cell lymphomas. Despite other types of lymphomas such as e.g. mantle cell lymphomas, follicular lymphomas or enteropathy-type T-cell lymphomas are uncommon, the REAL-classification as well as the recently published World Health Organization classification of lymphoid neoplasms consider these tumours as distinct entities, based on their morphology, immunohistochemistry, cytogenetics as well as on their different clinical presentation.

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  1. Department of Pathology, University Hospital Maastricht, P. Debyelaan 25, Postbus 5800, AZ6202, Maastricht, (The Netherlands)

    Ann Driessen

  2. KU Leuven, (Belgium)

    Nadine Ectors

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Driessen, A., Ectors, N. Lymphomes du tractus gastro-intestinal: types rares. Acta Endosc 33, 327–345 (2003). https://doi.org/10.1007/BF03015747

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