Gastroenterologie
a hepatologie

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 Tachecí³

+ Affiliation
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

Summary

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.

Keywords

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