单边桃体扩大作为双边慢性淋巴细胞白血病/小淋巴细胞淋巴瘤的初始表现
Allie M Ottinger1, Roshansa Singh2, Dong Chen3
1College of Medicine, Medical University of South Carolina, Charleston, SC, USA.
Ear, nose, & throat journal
|November 24, 2023
概括
单侧桃体扩大可能令人担忧,但桃体的原发性慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL) 是罕见的. 这个案例强调了对阻塞性睡眠呼吸暂停和桃体不对称性的彻底评估.
科学领域:
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血液学 血液学 血液学
背景情况:
- 单侧桃体扩大是桃体切除术的常见原因.
- 恶性瘤的发病率因不对称性而被切除的桃体而异,管理准则不清楚.
- 慢性淋巴细胞白血病/小淋巴细胞淋巴瘤 (CLL/SLL) 是一种罕见的疾病.
研究的目的:
- 报告一种罕见的 palatine桃体初级CLL/SLL病例.
- 突出体检,家族病史和组织活检的诊断重要性.
- 为有限的关于桃体CLL/SLL的文献做出贡献.
主要方法:
- 一位51岁的士患有桃体不对称性和阻塞性睡眠呼吸暂停 (OSA) 的病例报告.
- 临床表现缺乏恶性瘤的典型迹象 (淋巴腺病变,B型症状).
- 对口腔桃体CLL/SLL现有文献的综述.
主要成果:
- 患者出现了桃体不对称和OSA,没有明显的恶性瘤迹象.
- 这代表了少数报告的 palatine桃体初级CLL/SLL病例之一.
- 文献审查表明,以前报告的桃体CLL/SLL病例只有7例,其中4例涉及桃体作为主要部位.
结论:
- palatine桃体的初级CLL/SLL异常罕见. 这是非常罕见的.
- 彻底的患者评估,包括体检,家族病史和活检,对于诊断这种罕见疾病至关重要.
- 这一案例强调了在患有OSA和不对称桃体的患者中需要保持警.
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