Management of Enteropathy-Associated T-Cell Lymphoma: An Algorithmic ApproachBabel N.a · Paragi P.a · Chamberlain R.S.a, b
aDepartment of Surgery, Saint Barnabas Medical Center, Livingston, N.J., and bDepartment of Surgery, University of Medicine and Dentistry of New Jersey, Newark, N.J., USA
Ronald Scott Chamberlain, MD, MPA, FACS
Department of Surgery, Saint Barnabas Medical Center94 Old Short Hills Road
Livingston, NJ 07039 (USA)
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Perforation of the small intestine is the most lethal complication following induction chemotherapy for enteropathy-associated T-cell lymphoma (EATL). We report a case of EATL with a near perforated jejunal ulcer, and suggest a novel approach towards its management. Surgical resection followed by aggressive chemotherapy should limit chemotherapy-associated gastrointestinal toxicity, thus allowing patients to receive adequate dose and duration of chemotherapy. The presented case highlights potential benefits of surgical intervention prior to chemotherapy for EATL.
© 2009 S. Karger AG, Basel
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