Lymphomes digestifs Flashcards

1
Q

Origine ?

A

Issu du tissu lymphoide associé au muq : MALT

rare 3%

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2
Q

Localisation ?

A

ESTOMAC ++++

Grele / colon / rectum

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3
Q

FdR ?

A
Infection HP
ID 
EBV
Déficit immunitaires
Maladie coeliaque +++ (pour les LT)
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4
Q

Bilan ?

A
Etat général
Gg superficiels
Bio :
-> NFS / BHC / EPP / LDH / B2microglobuline
-> VIG / VHB VHC
-> phénotypage lymphocytaire 

Imagerie
Colo
ORL avec fibro du cavum +++ (EBV )

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5
Q

Traitemetn forme IE ?

A

Eradication HP : régresse dans 80%

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6
Q

Traitmetn formes plus avancées ?

A

Traitemetn chir

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7
Q

Traitemtn formes disséminées ?

A

Chimio : protocole CHOP ou chlorambucil seul

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