Primary gastric lymphoma to T cells, not associated with HTLV1, with initial presentation of pathological fracture. Case report

• Autores: Riveros Anglas, Marisa Estelita, Del Castillo Glenny, Rocío, Cerrillo, Gustavo
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Colegio Médico del Perú
• Repositorio: Acta Médica Peruana
• Lenguaje: español
• OAI Identifier: oai:amp.cmp.org.pe:article/2583
• Enlace del recurso: https://amp.cmp.org.pe/index.php/AMP/article/view/2583
• Nivel de acceso: acceso abierto
• Materia: Linfoma de Células T; Estómago; Fractura Espontánea; Metástasis; Carcinoma; Perú; T Cell Lymphoma; Stomach; Fractures; Spontaneous; Metastasis; Peru

Adult T-cell lymphoma (ATLL) is an aggressive neoplasm of T-lymphocytes, usually associated with human T-lymphotropic virus type 1 (HTLV-1). Variegated clinical presentation. Primary gastric lymphomas most frequently have type B non-Hodgkin lymphoma (NH) as an etiology, and a minimal percentage is due to T lymphocytes. Literature on primary gastric lymphomas due to HTLV1 Negative T cells that metastasize to bone is scarce. The case of a 41-year-old adult who was admitted for a pathological fracture is presented. At 15 days he presented diarrhea, abdominal distension. An upper endoscopy finds: "Ulcerated gastric lesions, neoproliferative appearance." Biopsy reported: Non-Hodgkin lymphoma to T lymphocyte. HTLV1: negative. He had 3 sessions of chemotherapy with CHOEP scheme. There was a favorable response, at first. Unfortunately DID NOT RETURN. He returned 2 months later in poor general condition. He presented complications, multi-organ failure, resulting in his death.