[作为非霍奇金淋巴瘤的临床表现的上消化道出血]
René Medina-Marroquín1, Iván González-Godínez1, Carlos de Jesús Maldonado-López1
1Instituto Mexicano del Seguro Social, Hospital General de Zona No. 47 "Vicente Guerrero", Servicio de Medicina Interna. Ciudad de México, México.
Revista medica del Instituto Mexicano del Seguro Social
|September 29, 2023
概括
这一案例突出显示了在风湿性关节炎患者中罕见的非霍奇金淋巴瘤 (NHL) 的胃肠道出血表现. 通过全面评估进行早期诊断对于改善这种复杂病例的存活率至关重要.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
背景情况:
- 非霍奇金淋巴瘤 (NHL) 与类风湿性关节炎 (RA) 等自身免疫性疾病有关.
- 额外的NHL呈现发生在40%的病例中,胃肠道参与3%的病例.
- 消化道出血是一种罕见但危急的NHL症状.
研究的目的:
- 给出一个病例的第四阶段NHL呈现与胃肠道出血在一个病人有RA史.
- 强调对罕见的NHL临床表现进行彻底的诊断方法的重要性.
主要方法:
- 一个55岁的女性患有RA的病例报告.
- 诊断工作包括对深静脉血栓,脏和肝脏梗塞以及淋巴结凝聚物的评估.
- 轴心淋巴结活检和骨髓吸取物证实了瘤淋巴细胞的增殖和淋巴细胞透.
主要成果:
- 确立了IV期非霍奇金淋巴瘤的诊断.
- 患者出现了严重的胃肠道出血,深静脉血栓和消耗性综合征.
- 发现了脏和肝脏梗塞以及多个淋巴结结合体.
结论:
- 这一案例强调了对NHL风险因素的患者进行全面临床评估的重要性.
- 早期的病因诊断对于及时治疗和改善患者存活率至关重要.
- 识别罕见的表现,如胃肠道出血,对于在RA患者有效管理NHL至关重要.
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