肺结节和原发性Sjögren综合征:一个病例报告
Sofia Rigoni1, Anna Lanati2, Francesco Cirimele3
1Università degli studi di Parma. sofia.rigoni@unipr.it.
Acta bio-medica : Atenei Parmensis
|December 6, 2023
概括
主要Sjögren综合征 (pSS) 患者有肺结节需要定期检查. 一个案例显示pSS肺结节是扩散大B细胞淋巴瘤的迹象,突出了需要多学科护理的需要.
科学领域:
- 类风湿病学 类风湿病学
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 主要Sjögren综合征 (pSS) 是一种系统性自身免疫性疾病,影响外分泌腺体和潜在的其他器官.
- 肺部干扰,包括肺结节 (PNs),在pSS患者中很常见,在CT扫描上见到65-80%的患者.
研究的目的:
- 报告一个患有肺结节的pSS病例,诊断为扩散大B细胞淋巴瘤.
- 强调定期患者检查的重要性,以及在管理PSS时采取多学科的方法.
主要方法:
- 一个49岁的女性患有pSS的病例介绍,该病例在14年前被诊断出.
- 诊断工作包括高分辨率CT (HRCT),CT-PET扫描和CT引导的肺结节针活检.
主要成果:
- 患者出现胸部疼痛和发烧.
- 扫描图像显示了肺部的结节.
- 活检证实了肺结核中的扩散性大B细胞淋巴瘤.
结论:
- 在pSS患者的肺结节可以表明潜在的恶性瘤,如淋巴瘤.
- 定期的医疗监测和多学科的团队方法对于在Sjögren综合征管理中获得最佳患者结果至关重要.
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