Evidence map›Paper›PMID 27457239›Full record

ArticleDiagnostic pathology2016

Multiple lesions of gastrointestinal tract invasion by monomorphic epitheliotropic intestinal T-cell lymphoma, accompanied by duodenal and intestinal enteropathy-like lesions and microscopic lymphocytic proctocolitis: a case series.

Hideki Ishibashi, Satoshi Nimura, Yoshiyuki Kayashima, Yasushi Takamatsu, Kunihiko Aoyagi, Naohiko Harada, Masanori Kadowaki, Takihiko Kamio, Shotaro Sakisaka, Morishige Takeshita

Open access · goldAbstract readCase Reports
In one paragraph

Article in Diagnostic pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Colonic neoplasia and celiac disease: A systematic review.World journal of gastroenterology · 2025
    Pooled it
  2. Article
  3. Abdominal pain and jaundice secondary to duodenal monomorphic epitheliotropic intestinal T-cell lymphoma.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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  15. Small bowel T-cell lymphoma: a MEITL-ing diagnosis.Clinical journal of gastroenterology · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Hideki IshibashiDepartment of Gastroenterology and Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Satoshi NimuraDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Yoshiyuki KayashimaDepartment of Gastroenterology and Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Yasushi TakamatsuDivision of Medical Oncology, Hematology and Infectious Diseases, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Kunihiko AoyagiDepartment of Gastroenterology and Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Naohiko HaradaDepartment of Gastroenterology, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, 810-8563, Japan.
Masanori KadowakiDepartment of Hematology, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, 810-8563, Japan.
Takihiko KamioDepartment of Pathology, Saiseikai Kumamoto Hospital, Kumamoto, 861-4193, Japan.
Shotaro SakisakaDepartment of Gastroenterology and Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan.
Morishige TakeshitaDepartment of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, 814-0180, Japan. m-take@adm.fukuoka-u.ac.jp.
Fukuoka University · JPNational Kyushu Medical Center · JPSaiseikai Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn East Asia, monomorphic epitheliotropic intestinal T-cell lymphoma (MEITL), previously known as type II enteropathy-associated T-cell lymphoma (EATL), occurs more frequently than type I EATL, and coeliac disease is rare. CASE PRESENTATION: Here we present four cases of MEITL in Japanese patients, including the endoscopic and pathological findings of their duodenal and colorectal lesions. Tumor specimens obtained from duodenal, intestinal, and colorectal biopsies in all four patients showed a diffuse intramucosal infiltration of small to/or medium-sized lymphoma cells and numerous atypical intraepithelial lymphocytes (IELs). These cells were immunohistologically positive for CD103, CD3, CD7, CD8, CD56, and T-cell intracellular antigen-1. Upper and lower gastrointestinal and antegrade double-balloon endoscopy revealed foci of edematous mucosa, with or without villous atrophy, in the non-neoplastic mucosa. Histological studies demonstrated duodenal and intestinal enteropathy-like lesions as well as microscopic (lymphocytic) proctocolitis with increased CD3- and CD8-positive and CD56-negative T-IELs in all four patients. The clinicopathological findings of the non-neoplastic lesions were similar to those characteristic of coeliac disease, suggesting that variants of coeliac disease may be present in the prodromal lesions of MEITL.

conclusionsOur study supports the need for random gastrointestinal biopsies to determine tumor spread, the features of MEITL in the particular patients, and the presence of prodromal non-neoplastic lesions.

Indexed as

AdultAgedAntigens, CDBiomarkers, TumorEnteropathy-Associated T-Cell LymphomaFemaleHumansIntestinal MucosaIntestinesJapanMaleMiddle AgedPoly(A)-Binding ProteinsProctocolitisT-Cell Intracellular Antigen-1T-LymphocytesAntigens, CDBiomarkers, TumorPoly(A)-Binding ProteinsT-Cell Intracellular Antigen-1TIA1 protein, humanEnteropathyGastrointestinal T-cell lymphomaIntraepithelial lymphocytesMicroscopic proctocolitis

Identifiers

PMID27457239
PMCPMC4960898
OpenAlexW2487531144

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.