A CASE OF MULTIPLE LYMPHOMATOUS POLYPOSIS (MLP) OF THE GASTROINTESTINAL TRACT: IS MLP A DISTINCT ENTITY?

DOI
  • TANIUCHI Mayumi
    Department of Internal Medicine, Sennan Chyuo Hospital , Osaka, Japan
  • HASEGAWA Shoichi
    Third Department of Inter nal Medicine, Wakayama Medical College, Wakayama, Japan
  • KAWANO Keizo
    Third Department of Inter nal Medicine, Wakayama Medical College, Wakayama, Japan
  • YAMAGATA Toshiyuki
    Third Department of Inter nal Medicine, Wakayama Medical College, Wakayama, Japan
  • INUI Hiroyuki
    Department of Laboratory Medicine, Wakayama Medical College, Wakayama, Japan
  • YUKAWA Susumu
    Department of Laboratory Medicine, Wakayama Medical College, Wakayama, Japan
  • NAKAMINE Hirokazu
    Department of Laboratory Medicine, Wakayama Medical College, Wakayama, Japan
  • TAKAENKA Tohru

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Other Title
  • Multiple Lymphomatous Polyposis of the Gastrointestinal Tract(MLP)の1例

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Abstract

A 67-year-old woman was admitted to our hospital because of edema in the lower extremities in June, 1990. Cervical lymphadenopathy and marked lymphocytosis (leukocyte count of 20, 600/μl with 76.5% lymphoid cells) were noted. Endoscopic and radiologic examinations disclosed giant folds in the stomach, a cauliflower-like tumor in the ileocecal valve, and numerous polypoid lesions in the stomach, duodenum and entire ileum. The patient was diagnosed as having intermediate lymhoytic lymphoma with features of multiple lymphomatous polyposis of the gastrointestinal tract (MLP) on the basis of histologic and immunohistochemical examinations. The authors discussed by reviewing the literature whether MLP was a distinct clinicopathological entity or not.

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