巨大的附录:一个罕见的地幔细胞淋巴瘤病例在附录中呈现为volvulus
Irada Mamukadze1, Shelley Gabel1, Sean K Park1
1General Surgery, University of Michigan Health-Sparrow, 1200 E Michigan Ave, Unit 655, Lansing, MI 48912, United States.
Journal of surgical case reports
|August 23, 2024
概括
膜细胞淋巴瘤 (MCL) 很少涉及尾,呈现为卷发症. 这一案例凸显了这种侵略性的B细胞非霍奇金淋巴瘤亚型的诊断和管理挑战.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
背景情况:
- 膜细胞淋巴瘤 (MCL) 是一种侵略性的B细胞非霍奇金淋巴瘤,占病例的5%.
- 虽然MCL很少转移,但可能会发生外节瘤的发生.
- 异常罕见的MCL对尾的影响,可能导致复杂的临床表现.
研究的目的:
- 报告一个单一的MCL病例,表现为尾卷发症.
- 讨论与这种罕见表现相关的诊断和管理挑战.
- 强调识别外节点MCL对于及时干预的重要性.
主要方法:
- 一个72岁的男性病例报告,有MCL病史,出现腹部疼痛.
- 诊断工作包括计算机断层扫描 (CT) 扫描,揭示了有关volvulus的迹象.
- 进行了探索性腹腔切除和尾切除的手术干预.
主要成果:
- 术后检查结果显示尾明显扩大 (16.5厘米长,5厘米直径).
- 病理检查证实尾被MCL透.
- 患者的表现模仿了典型的尾卷发症,使初步诊断复杂化.
结论:
- 这一案例强调了MCL在附录中主要表现为volvulus的可能性.
- 准确的诊断和及时的手术和医疗管理对于这种侵袭性淋巴瘤至关重要.
- 意识到这种罕见的外节表现对于有效的患者护理至关重要.
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