初级胸膜霍奇金淋巴瘤与胸膜瘤和严重骨髓炎共存:一个病例报告
Sarah Almuqbil1, Amal AlHarbi1, Fatimah S Alzouri1
1College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
The American journal of case reports
|November 25, 2023
概括
骨髓灰质炎是一种神经肌肉疾病,可以与胸腺瘤和胸腺霍奇金淋巴瘤共存. 这一案例突出显示,即使在成功治疗霍奇金淋巴瘤后,肌痛性骨髓炎严重症状仍然存在,这表明需要进一步研究的复杂关系.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 骨髓灰质炎 (MG) 是一种神经肌肉疾病,经常与胸腺瘤有关.
- 同时发生的MG与其他恶性瘤,包括胸膜霍奇金淋巴瘤是罕见的,但有记录.
- 本报告详细介绍了一例MG患者同时发生胸腺瘤和胸腺霍奇金淋巴瘤的独特病例.
研究的目的:
- 呈现一种罕见的同时存在的胸腺瘤和胸腺霍奇金淋巴瘤的病例,在患有骨髓质疏松症的患者中.
- 为了探索肌痛性骨髓灰质炎和霍奇金淋巴瘤之间的复杂和不清楚的联系.
主要方法:
- 骨髓灰质炎的诊断工作,包括临床评估和药理管理.
- 对前端中质量进行放射性评估.
- 手术切除 (扩展的横胸部切除术) 和胸腺组织病理学分析.
- 对确诊的霍奇金淋巴瘤进行化疗.
主要成果:
- 肌痛性骨髓灰质炎的诊断得到证实,并使用皮里多斯蒂格,普雷迪尼索隆和阿扎西奥普林进行治疗.
- 组织病理学揭示了共存的胸腺瘤和结节性硬化症霍奇金淋巴瘤 (IIA).
- 患者完成了化疗,并在4年后没有显示霍奇金淋巴瘤的迹象.
- 尽管霍奇金淋巴瘤完全缓解,但严重肌痛症的症状仍然存在.
结论:
- 骨髓灰质炎和霍奇金淋巴瘤之间的关联仍然不清楚.
- 虽然一些病例表明Hodgkin淋巴瘤治疗后MG回归,但这种病例表明MG症状持续存在.
- 需要进一步的研究来阐明这些条件之间的关系.
相关概念视频
Myasthenia Gravis: Overview and Treatment
1.5K
Myasthenia gravis is a neuromuscular transmission disorder characterized by weakness and increased fatigability of skeletal muscles. It is an autoimmune disease affecting approximately one in 2000 people, where antibodies against the α1 subunit of nicotinic acetylcholine receptors are produced.
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
These antibodies interfere with the function of the nicotinic receptors in three ways: by binding to the receptor and disrupting acetylcholine binding; by causing cross-linking of receptors which...
1.5K
Myasthenia Gravis: Diagnostic Tests
890
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
890
Disorders of the Skeletal Muscle
966
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
966


