This neoplasm is not reportable.
Effective 2021 and later

Reportability

This neoplasm is not reportable

Primary Site(s)

No primary site specified
Primary Site: Gastrointestinal tract (C150-C269)
This hematopoietic disease is not reportable for the U.S.
Canada, refer to your specific province for reportability requirements.

Most common primary sites: stomach and colon

Abstractor Notes

Indolent T-cell lymphoma of the gastrointestinal tract (iTCL-GI) is part of the Mature T-cell and NK-cell neoplasms lineage table in the WHO 5th edition of Hematolymphoid Tumors. (See Appendix B in the Hematopoietic Manual, Table B20)

iTCL-GI affects mostly the small intestine or colon; however, any site in the GI tract can be involved, including the oral cavity and the esophagus.

Disease progression with extragastrointestinal spread or transformation to aggressive lymphoma can occur, usually decades after diagnosis.

iNK-LPD involves mostly the stomach, small intestine, and large intestine.

Alternate Names

Lymphomatoid gastropathy
NK-cell enteropathy

Definition

Indolent T-cell lymphoma of the gastrointestinal tract (iTCL-GI) is a clonal T-cell proliferation characterized by the infiltration of the lamina propria by small mature lymphocytes lacking significant epitheliotropism, and typically a protracted clinical course. (WHO 5th edition)

Indolent NK-cell lymphoproliferative disorder (iNK-LPD) of the gastrointestinal tract is an indolent but recurring EBV-negative NK-cell proliferation that predominantly involves the gastrointestinal tract but occasionally may affect other anatomical sites. (WHO 5th edition)

Genetics Data

This data item does not apply

Immunophenotyping

This data item does not apply

Corresponding ICD-10 Codes (Cause of Death codes only)

D47.7 Other specified neoplasms of uncertain or unknown behavior of lymphoid, hematopoietic, and related tissue

Corresponding ICD-10-CM Codes (U.S. only)

D47.Z9 Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue (effective October 01, 2015)

Signs and Symptoms

Abdominal pain
Diarrhea
Dyspepsia
Vomiting
Weight loss

Epidemiology and Mortality

Incidence: no information
Age: median ages 45-51
Sex: M:F ratio 1.5-2.1
Survival: good with conservative therapy (steroids)

Sources

WHO Classification of Tumours Editorial Board. Haematolymphoid tumours. Lyon (France): International Agency for Research on Cancer; 2024. (WHO classification of tumours series, 5th ed.; vol. 11). https://publications.iarc.who.int/637.
Section: Mature T-cell and NK-cell neoplasms
Pages: Part B: 712-714

International Classification of Diseases for Oncology, 3rd edition (including revisions). Geneva: World Health Organization, 2001, 2011, 2020.
Section: ICD-O-3.2 (2020) Morphological Codes
Pages: http://www.iacr.com.fr/index.php?option=com_content&view=category&layout=blog&id=100&Itemid=577
Glossary