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©2014 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Apr 21, 2014; 20(15): 4446-4452
Published online Apr 21, 2014. doi: 10.3748/wjg.v20.i15.4446
Published online Apr 21, 2014. doi: 10.3748/wjg.v20.i15.4446
Comparative study of intestinal tuberculosis and primary small intestinal lymphoma
Qing-Qiang Zhu, Wen-Rong Zhu, Jing-Tao Wu, Wen-Xin Chen, Shou-An Wang, Department of Medical Imaging, Subei People’s Hospital, Medical School of Yangzhou University, Yangzhou 225001, Jiangsu Province, China
Author contributions: Zhu QQ and Zhu WR contributed equally to this work; Zhu QQ, Zhu WR, Wu JT and Chen WX designed the research; Zhu QQ, Zhu WR, Wu JT and Wang SA performed the research; Zhu QQ, Zhu WR and Wu JT analyzed the data; Zhu QQ and Zhu WR wrote the paper.
Supported by Fundamental Research Funds, Yangzhou, China, No. SGG201230084; and College fund No. yzucms201203
Correspondence to: Jing-Tao Wu, MD, Department of Medical Imaging, Subei People’s Hospital, Medical School of Yangzhou University, No. 98, West Nantong Road, Yangzhou 225001, Jiangsu Province, China. wujingtaodoctor@163.com
Telephone: +86-514-87373625 Fax: +86-514-87373625
Received: September 12, 2013
Revised: December 22, 2013
Accepted: January 20, 2014
Published online: April 21, 2014
Revised: December 22, 2013
Accepted: January 20, 2014
Published online: April 21, 2014
Core Tip
Core tip: Treatment for intestinal tuberculosis (ITB) differs completely from that for primary small intestinal lymphoma (PSIL). Differentiating ITB from PSIL continues to be a challenge. Combined evaluation of clinical, radiological, endoscopic and pathological features is the key to differentiation between ITB and PSIL. For example, night sweating, ascites, ring-like and rodent-like ulcers, granuloma, multi-segmental lesions, mural stratification, necrotic lymph nodes, comb sign, and inflammatory mass are more suggestive of ITB. However, abdominal mass, hematochezia, enterorrhagia, raised lesions, single-layer thickening of bowel wall, single segmental lesions, and intussusception are more suggestive of PSIL.