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一例经切除后缓解的口腔惰性 NK 细胞肠病及简要综述

英文原题:A case of excisionally remitted indolent NK-cell enteropathy in the oral cavity and a mini-review.

查看英文原题

A case of excisionally remitted indolent NK-cell enteropathy in the oral cavity and a mini-review.

PubMed 2024/04/20(内容时间) J Cutan Pathol Q3 · IF 1.2(JCR 2025)

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中文摘要

良性NK 细胞肠病(NKCE)最初在胃肠道中被发现。既往也有 NKCE 发生于胃肠道以外部位的报道,包括胆囊、淋巴结、食管和女性生殖道。典型 NKCE 表现为 NK 细胞免疫组织学表型,可伴或不伴 TCR 重排,通常无 Epstein-Barr 病毒(EBV)感染,临床进展缓慢。由于被误诊为 NKT 细胞淋巴瘤,部分患者接受了化疗;另一些患者未经治疗即自行缓解,随访期间未见复发或进展。本文报告首例发生于口腔的独特 EBV 阴性 NKCE 病例。肿物在切除活检后完全消退,后续随访未见复发迹象。

展开英文摘要原文

Benign natural killer cell enteropathy (NKCE) was first identified in the gastrointestinal (GI) tract.

Notably, instances of NKCE have previously been observed at various sites other than the GI tract, including the gallbladder, lymph nodes, esophagus, and female genital tract. Typical NKCE manifests as an NK-cell immunohistological phenotype, with or without TCR rearrangement, and is characterized by the absence of Epstein-Barr virus (EBV) infection and protracted clinical progression.

The misdiagnosis of NKT-cell lymphoma has resulted in some patients receiving chemotherapy, while in other instances, the patients' conditions resolved without treatment and showed no evidence of disease recurrence or progression during follow-up examinations. In this paper, we describe a unique case of EBV-negative NKCE occurring in the oral cavity, the first time such a case has been documented. The tumor completely resolved after an excisional biopsy, and subsequent follow-up did not reveal any signs of disease recurrence.

论文信息

作者
Li X、Li Z、Zhou X、Zheng Y、Zhang Y、Xie J
第一作者单位
Department of Dermatology, The Seventh Affiliated Hospital of Sun Yat-Sen University, Shenzhen, China.China
通讯作者单位
Department of Pathology, Beijing Friendship Hospital, The Second Clinical Medical College of Capital Medical University (Lymphoma Diagnostic Center, Beijing Institute of Clinical Medicine), Beijing, China.China
文献类型
病例报告 · 综述
期刊
Journal of cutaneous pathology2024 Jul
原文标识
PubMed 38642003 · DOI 10.1111/cup.14626