一个不寻常的肝损伤病因
María Hernández1, Yurami Leonor Sánchez2, Asunción Ramos Meca2
1Aparato Digestivo, Hospital Central de la Defensa "Gómez Ulla", España.
Revista espanola de enfermedades digestivas
|August 4, 2023
概括
一名68岁的女性出现体重减轻,并被诊断为肝脏扩散性大B细胞淋巴瘤 (DLBCL). 化疗导致缓解,突出DLBCL作为无法解释的肝损伤的原因.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
背景情况:
- 一位68岁的女性出现了无法解释的体重减轻.
- 包括血液检测,CT和内镜在内的初步调查对恶性瘤没有确定性.
研究的目的:
- 报告一种罕见的原发性肝扩散性大B细胞淋巴瘤病例.
- 突出肝脏DLBCL的诊断挑战和成像特征.
- 强调综合诊断方法的重要性,包括先进的成像和活检.
主要方法:
- 临床评估包括血液检查,腹腔皮层CT,胃镜检查,结肠镜检查,乳房镜检查和纤维支骨镜检查.
- 腹部超声波和对比度增强超声波 (CEUS) 用于详细描述肝损伤的特征.
- 透皮肝损伤活检用于组织病理学诊断.
主要成果:
- 最初的调查表明肝转移,CT显示环增强性病变和可疑的腺病变.
- 超声波显示了多种异生态性肝损伤,具有低声光环.
- CEUS表现出心向增强和渐进性冲洗,与转移相一致.
- 透皮活检证实了扩散的大B细胞淋巴瘤透.
结论:
- 肝扩散大B细胞淋巴瘤可以在成像上模仿转移性肝病.
- 先进的成像方法和组织病理学确认的结合对于准确的诊断至关重要.
- 患者在化疗治疗后实现了缓解.
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