主要玻璃带淋巴瘤仅表现出无症状的外周状腺病变
Brianna Lu1, Jovi C Y Wong1,2, Justin Kritzinger1
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Case reports in ophthalmology
|August 15, 2024
概括
原发性玻璃结膜淋巴瘤 (PVRL) 可以呈现为外围结膜淋巴病变. 这一案例凸显了对年龄较大,视网膜新发现的患者恶性瘤的警的重要性.
科学领域:
- 眼科医生 眼科 眼科
- 在瘤学瘤学.
- 血液学 血液学 血液学
背景情况:
- 初级玻璃细胞淋巴瘤 (PVRL) 是一种罕见的恶性瘤,影响眼睛,通常与中枢神经系统淋巴瘤有关.
- PVRL通常涉及视网膜,玻璃体或视神经头部.
研究的目的:
- 报告第一个通过活检确认的PVRL病例,仅表现为无症状的外围状腺病变.
- 强调需要对老年患有渐进性视网膜病变的老年患者的恶性瘤有很高的临床怀疑.
主要方法:
- 一个案例介绍的是一个70多岁的女性,患有新的,升高的黄色肌肉病变.
- 诊断性玻璃切除术证实了B细胞淋巴瘤.
- 治疗包括放射治疗和全身化疗.
主要成果:
- 患者的病变显示出增长和减弱,最终解决和重新出现.
- 活检证实了B细胞淋巴瘤.
- 尽管初始治疗,新的病变发展,需要全身化疗.
结论:
- 高度的临床怀疑对于年龄较大的患有渐进性新视网膜病变的患者至关重要.
- 单独的轨道辐射疗法可能不足以治疗眼内疾病.
- PVRL可以不典型地呈现带有外围状腺病变.
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