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Enteropathy type T cell lymphoma (ETTL) is a rare subtype of T cell lymphoma that is strongly associated with coeliac disease.1 The overall prognosis is poor. In one study, 15 of 19 (79%) patients relapsed within 60 months after the initial diagnosis (median, 6 months), and the overall survival rate at 5 years was 24%.2 We describe a case of ETTL with an unusually late relapse. The patient was a 50-year-old woman who developed an ulcerated gastric tumour in 1992, with no associated lymphadenopathy or hepatosplenomegaly. A partial gastrectomy was performed, and at the time of surgery, the tumour …
Competing interests: None declared.