Abstract

RIVEROS ANGLAS, Marisa Estelita; DEL CASTILLO GLENNY, Rocío  and  CERRILLO, Gustavo. Primary gastric lymphoma to T cells, not associated with HTLV1, with initial presentation of pathological fracture. Case report. Acta méd. Peru [online]. 2023, vol.40, n.3, pp.256-261.  Epub Oct 22, 2023. ISSN 1728-5917.  http://dx.doi.org/10.35663/amp.2023.403.2583.

Adult T-cell lymphoma (ATLL) is an aggressive T-cell neoplasm, usually associated with human T-lymphotropic virus type 1 (HTLV-1), with a variegated clinical presentation. Primary gastric lymphomas are generally non-Hodgkin lymphoma (NH) type B, and a minimal percentage are due to T lymphocytes. There is little literature on primary gastric lymphomas due to HTLV-1 Negative T cells that metastasize to bone. To illustrate this situation, the case of a 41-year-old adult who is admitted for a pathological fracture is presented. 15 days later, he developed diarrhea and abdominal distension, and an upper endoscopy found "gastric ulcerated lesions, neoproliferative appearance". The Biopsy reported Non-Hodgkin Lymphoma to mature T lymphocyte cells; and the HTLV1 test was negative. Three chemotherapy sessions were performed with the CHOEP scheme. There was a favorable response, and he was discharged; However, he did not return to continue therapy. The patient returned 2 months later in poor general condition. He then presented multiple organ failure, resulting in his death.

Keywords : T Cell Lymphoma; Stomach; Fractures, Spontaneous; Metastasis; Carcinoma; Peru.

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