The recognition and classification of lymphoproliferative disorders of the gut

Hum Pathol. 2014 May;45(5):899-916. doi: 10.1016/j.humpath.2013.12.001. Epub 2013 Dec 18.

Abstract

Gastrointestinal lymphomas can be difficult to diagnose, particularly in small samples, when early in development, or when of unusual types. In this review, we describe lymphoid proliferations in the gastrointestinal tract in a location-based manner, including, mouth, esophagus, stomach, small intestine, and large bowel. For the purpose of differential diagnosis, benign mimics of lymphoma are also described. Lymphoma types that are specifically addressed include plasmablastic, extranodal natural killer/T-cell-nasal type, extranodal marginal zone lymphoma (eg, mucosa-associated lymphoid tissue lymphoma), diffuse large B cell, primary follicular of small intestine, enteropathy-associated T cell, and Burkitt and mantle cell. Immunohistochemical markers useful in the diagnostic approach are elaborated in detail.

Keywords: Colonic lymphoma; Extranodal marginal zone lymphoma; Gastric lymphoma; Gastrointestinal lymphoma; Small intestine lymphoma.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Gastrointestinal Neoplasms / classification
  • Gastrointestinal Neoplasms / diagnosis*
  • Gastrointestinal Neoplasms / pathology
  • Gastrointestinal Tract / pathology
  • Humans
  • Immunohistochemistry
  • Lymphoma / diagnosis
  • Lymphoma / pathology*
  • Lymphoma, B-Cell / classification
  • Lymphoma, T-Cell / classification
  • Lymphoproliferative Disorders / classification*
  • Lymphoproliferative Disorders / diagnosis

Substances

  • Biomarkers, Tumor