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周心扩散大B细胞淋巴瘤通过计算机断层扫描指导的活检诊断

Toshiya Yoshida1, Midori Nanamatsu1, Shunichi Asano1

  • 1Department of Cardiology, Yokohama Rosai Hospital, Yokohama, Japan.

JACC. Case reports
|September 26, 2025
PubMed

Insights

一个罕见的心周扩散大B细胞淋巴瘤 (DLBCL) 病例被用计算机断层扫描 (CT) 引导的活检诊断出来. 这种微创方法在诊断原发性心周淋巴瘤方面被证明是安全有效的.

科学领域:

  • 在瘤学瘤学.
  • 放射学 放射学是一门学科.
  • 病理学 病理学 病理学

背景情况:

  • 原发性心周淋巴瘤是异常罕见的疾病.
  • 扩散性大B细胞淋巴瘤 (DLBCL) 很少会主要表现在心周.

研究的目的:

  • 报告通过CT指导活检诊断的心周DLBCL病例.
  • 突出CT导向活检在诊断罕见心周质量的实用性.

主要方法:

  • 一名57岁的男性出现胸痛和体重减轻,在成像上表现出心周质量.
  • 最初的心脏样复杂;随后的CT导向活检证实了DLBCL.
  • 治疗包括包括波拉图祖马布 (polatuzumab) 维多丁 (vedotin) 和利图西马布 (rituximab) 的治疗方案.

主要成果:

  • 通过CT导向活检成功诊断出心周DLBCL,没有并发症.
  • 患者在开始化疗后显示瘤缩.

结论:

  • 早期的组织病理学诊断对于有效的淋巴瘤治疗至关重要.
  • 在某些特定情况下,CT导向活检是诊断心周淋巴瘤的安全有效方法.
  • 多学科的方法对于管理罕见的疾病,如初级心周淋巴瘤至关重要.
抽象的

No abstract available in PubMed .

关键词:
通过CT指导的活检.扩散大的B细胞淋巴瘤.心脏周围瘤的瘤.

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