附录中隐藏的淋巴瘤:一种主要的尾扩散型大B细胞淋巴瘤病例,呈现为急性尾炎
Paola Solis-Pazmino1, Luana Vasques1, Pedro Maldonado1
1Surgery Department, Santa Casa de Misericórdia in Porto Alegre (SCMPA), Porto Alegre, Brazil.
Journal of surgical case reports
|June 5, 2023
概括
尾的扩散性大B细胞淋巴瘤 (DLBCL) 是急性尾炎的罕见原因. 这一案例凸显了在出现尾炎样症状的患者中考虑尾DLBCL的重要性.
科学领域:
- 胃肠道瘤学 胃肠道瘤学
- 手术病理学手术病理学
- 血液学恶性瘤是什么
背景情况:
- 扩散性大B细胞淋巴瘤 (DLBCL) 是最常见的非霍奇金淋巴瘤.
- 尾DLBCL是一种极其罕见的胃肠道淋巴瘤.
- 急性尾炎是一种常见的手术紧急情况,通常掩盖罕见的潜在病理.
研究的目的:
- 报告一种罕见的DLBCL病例,呈现为急性尾炎.
- 强调尾DLBCL的诊断挑战和临床影响.
- 为了对罕见的胃肠道恶性瘤的文献做出贡献.
主要方法:
- 一个55岁妇女的病例介绍,症状模仿急性尾炎.
- 手术干预包括腹腔镜尾切除术,右半角切除术和淋巴结切除术.
- 组织病理学检查以确定确诊.
主要成果:
- 病理分析证实了尾的扩散性大B细胞淋巴瘤 (DLBCL).
- 患者接受了手术切除,目前正在接受化疗.
- 尾DLBCL的发病率估计在胃肠道淋巴瘤病例中的0.015%.
结论:
- 尾DLBCL可以模仿急性尾炎,需要进行彻底的病理评估.
- 早期诊断和适当的治疗,包括手术和化疗,对于结果至关重要.
- 这一案例强调了在腹部紧急情况中考虑罕见差异的重要性.
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