膜细胞淋巴瘤在状鼻显示急性双边失明
Yosuke Kanaya1, Atsunobu Tsunoda1, Kanako Saigo1
1Department of Otolaryngology-Head and Neck Surgery, Juntendo Nerima Hospital, Nerima-ku Takanodai 3-1-10, Tokyo 177-0033, Japan.
Oxford medical case reports
|September 4, 2024
概括
膜细胞淋巴瘤 (MCL) 可以在状鼻表现出来,导致失明. 及时治疗导致一只眼睛的视力恢复,强调了对这种罕见疾病的早期诊断和干预的重要性.
科学领域:
- 在瘤学瘤学.
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 薄膜细胞淋巴瘤 (MCL) 是一种罕见的B细胞非霍奇金淋巴瘤.
- 常见的MCL通常影响淋巴结,但也可能涉及到外节位.
- 由于MCL引起的状鼻的参与非常罕见,特别是在视觉损害方面.
研究的目的:
- 报告一个独特的地幔细胞淋巴瘤病例,起源于状鼻.
- 为了描述双边失明的临床表现二次到形MCL.
- 在这个罕见的演示中讨论管理和视觉结果.
主要方法:
- 一个57岁的男性患者的病例报告.
- 诊断程序包括成像 (MRI) 和瘤组织的组织病理学检查.
- 治疗包括手术解,皮质类固醇和化疗.
主要成果:
- 该患者出现了状鼻质量和快速增长的丸质量,诊断为MCL.
- 最初的症状包括双边视力丧失和由于状体质量增长而导致的完全失明.
- 在治疗后,左眼的视力恢复,而右眼的视力仍然失去了;患者恢复了社交活动.
结论:
- 膜细胞淋巴瘤主要存在于状鼻中,导致严重的视力障碍.
- 包括手术,化疗和皮质类固醇在内的多学科管理至关重要.
- 这一案例突显了视力恢复的潜力,尽管在罕见的外节性MCL呈现中存在显著的初始缺陷.
相关概念视频
01:25Glaucoma: Overview
528
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
528
01:28Angle Closure Glaucoma: Treatment
454
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
454