主要神经淋巴瘤症呈现为落脚:一个罕见的病例报告
Neha Bakshi1, Vineeta Chand2, Rajiv Anand3
1Department of Pathology (Histopathology Division), Sir Ganga Ram Hospital, New Delhi, India.
Indian journal of pathology & microbiology
|February 23, 2024
概括
神经淋巴瘤,一种罕见的外周神经系统淋巴瘤,带来了诊断挑战. 早期怀疑和先进的成像技术有助于识别这种疾病,以改善患者的生存率.
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:
- 神经淋巴瘤病 (NL) 是淋巴瘤细胞对周围神经系统 (PNS) 的罕见直接透.
- 由于临床表现不同,NL的诊断具有挑战性,并且在PNS淋巴瘤中很少出现.
研究的目的:
- 突出诊断挑战和神经淋巴瘤病的临床表现.
- 强调高级成像和神经活检在诊断NL中的作用.
- 报告错误诊断的NL病例及其最终识别.
主要方法:
- 一个老年男性患者的病例报告,患有亚急性发作的多焦点神经病变.
- 采用磁共振成像 (MRI) 和氧葡萄糖-正子辐射断层扫描 (FDG-PET) 进行放射性评估.
- 进行了神经根活检,以对淋巴瘤透的组织病理学确认.
主要成果:
- 患者最初出现的症状模仿慢性炎症性脱髓化多神经病变.
- 放射性成像显示L5神经根的状变厚.
- 活检证实了扩散型大B细胞型非霍奇金淋巴瘤 (NHL) 的广泛透.
结论:
- 怀疑的高指数对于诊断神经淋巴瘤症至关重要.
- 综合使用MRI,FDG-PET和神经活检有助于准确的诊断.
- 及时诊断和治疗NL显著改善患者的结果.
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