Commentary
See article on page 662T-cell lymphoma: the real thing
| The first 150 words of the full text of this article appear below. |
It is altogether appropriate that the gut should possess
efficient immunological defences given the interface between its antigen-rich contents and the permeable mucosa. More than that, however, the gut is an important immunological organ in its own right.
In this respect, the gut mucosa contains more lymphocytes than all
other organs of the immune system combined. It is estimated that in
humans a metre of intestine contains 1010 lymphocytes,
which is almost equivalent to the number contained in the
spleen.1 In the light of this quantitative difference and
the fact that intestinal lymphoid tissues are subject to constant immunostimulation, it might be expected that a larger proportion of
lymphomas would arise from the intestine than the peripheral lymphoid
system but, curiously, the contrary is true. Although the
gastrointestinal tract is the commonest site of extra-nodal lymphoma in
Western countries, only 10% of lymphomas overall arise there.2 There are, however, significant
Relevant Article
- The clinicopathological features of extensive small intestinal CD4 T cell infiltration
- F Carbonnel, H d'Almagne, A Lavergne, C Matuchansky, J C Brouet, F Sigaux, L Beaugerie, J Nemeth, B Coffin, J Cosnes, J P Gendre, and J C Rambaud
Gut 1999 45: 662-667.[Abstract] [Full Text] [PDF]
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