Year 2025 / Volume 117 / Number 8
Letter
Endoscopic submucosal dissection for duodenal-type follicular lymphoma

461-462

DOI: 10.17235/reed.2024.10506/2024

Su Luo, Ben-Hua Wu, Li-Sheng Wang,

Abstract
Duodenal-type follicular lymphoma (D-FL) is a special type of follicular lymphoma, which tends to occur in the descending segment of the duodenum. The lesion is mostly limited to the mucosal layer. The treatment approach for D-FL has not been clearly established and the watch and wait (WW) approach is generally recommended as a major option. Since D-FL may be transformed into a more serious type of lymphoma, it is of clinical significance to explore active treatment methods. We diagnosed and successfully treated a case of D-FL with Endoscopic submucosal dissection (ESD). Because D-FL is limited to mucosa in the descending segment of the duodenum, ESD can completely dissect the lesion to achieve the purpose of complete resection. Compared with the WW, the method of WW after endoscopic therapy is more active, safe and effective.
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References
Brais FS, Lucía SB, María GR, et al. Primary follicular lymphoma of the duodenum as an incidental finding on upper gastrointestinal endoscopy. Rev Esp Enferm Dig. 2024 Mar 7; doi: 10.17235/reed.2024.10255/2023.
Guilherme DA, Graham C, Vanderson R. What do we know about duodenal-type follicular lymphoma?From pathological definition to treatment options. Br J Haematol. 2020 Mar;188(6):831-837.
Steven CW, Lauren BS, Scott RO. Update on Gastrointestinal Lymphomas. Arch Pathol Lab Med. 2018 Nov;142(11):1347-1351.
Tomohiko T, Ryohei A, Jun K, et al. Histological transformation in duodenal-type follicular lymphoma: a case report and review of the literature. Oncotarget. 2019 May 21;10(36):3424-3429.
Kimimori K, Yoshimitsu S, Satoshi Y, et al. Clinical features and outcomes of duodenal-type follicular lymphoma: A single-center retrospective study. EJHaem. 2022 Jan 31;3(2):379-384.
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Luo S, Wu B, Wang L. Endoscopic submucosal dissection for duodenal-type follicular lymphoma. 10506/2024


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Publication history

Received: 26/04/2024

Accepted: 19/05/2024

Online First: 22/05/2024

Published: 24/07/2025

Article Online First time: 26 days

Article editing time: 454 days


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