Non-HTLV-1-associated primary gastric T-cell lymphoma with cutaneous metastasis and pneumoperitoneum

• Autores: Meregildo-Rodriguez, Edinson Dante, Ramos-Saavedra, Vanessa April, Espino-Saavedra, Walter Giovanny, Delgado-Sánchez, Marcela Cecilia, Sánchez-Carrillo, Halbert Christian
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1055
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1055
• Nivel de acceso: acceso abierto
• Materia: Linfoma no Hodgkin; linfoma de células T; infecciones por HTLV-I; tracto gastrointestinal; neumoperitoneo; Reporte de caso; Lymphoma, non-Hodgkin; lymphoma; T-Cell; HTLV-I infections; gastrointestinal tract; pneumoperitoneum; Case report

Background: Primary gastric lymphomas account for less than 5% of non-Hodgkin lymphomas (NHL). The vast majority of primary gastric lymphomas are high-grade B-cell lymphomas. Primary gastric T-cell lymphomas are very rare and are usually associated with HTLV-1 infection in endemic regions. Material and methods. We describe the case of a middle-aged female patient who presented with pneumoperitoneum due to a perforated gastric ulcer, wasting syndrome, and skin and oral lesions. Results. Histopathology and immunohistochemistry confirmed primary gastric T-cell lymphoma with skin involvement. The serology for HTLV-1, Epstein-Barr virus and HIV were negative. Conclusion. The aim of this report is to present this extremely rare presentation of primary gastric lymphoma.