非霍奇金淋巴瘤呈现与肺化颗粒瘤:一种罕见的临床实体
Nina Trepić1, Marko Nemet1, Ivan Ergelašev2,3
1Internal Medicine, Faculty of Medicine, University of Novi Sad, Novi Sad, SRB.
Cureus
|September 4, 2023
概括
肺化颗粒瘤 (PHG) 是一种罕见的肺部疾病,通常与淋巴增殖性疾病有关. 确切的诊断需要手术活检,特别是当肺结节与其他疾病一起出现时.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 肺化颗粒瘤 (PHG) 是一种罕见的良性肺病,呈纤维化结节的形式.
- PHG通常与淋巴增殖性疾病有关,作为一种副瘤性表现.
- 诊断通常需要手术活检,因为非特异性症状和缓慢的进展.
研究的目的:
- 在患有非霍奇金淋巴瘤的患者中报告PHG病例.
- 强调PHG作为多重肺结节患者的差异诊断.
- 强调手术活检对于确定PHG诊断的重要性.
主要方法:
- 一个57岁的女性患有呼吸障碍,疲劳和B型症状的病例报告.
- 诊断工作包括成像 (CT扫描),淋巴结活检 (非霍奇金淋巴瘤) 和视频辅助胸腔镜与外科活检.
- 治疗包括淋巴瘤的化疗和PHG的观察,因为肺功能得到保护.
主要成果:
- 这名患者被诊断为非霍奇金淋巴瘤和肺部化颗粒瘤.
- 肺部病变进展,尽管为淋巴瘤进行化疗.
- 手术活检证实了PHG,由于肺功能充足,没有启动皮质类固醇治疗.
结论:
- PHG是一种罕见的实体,应在多重肺结节的差分诊断中考虑.
- 它与淋巴增殖性疾病的关联需要进行彻底的调查.
- 手术活检仍然是确定PHG诊断的黄金标准.
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