扩散的外节节自然杀手/T细胞淋巴瘤模仿一个神经复发性多细胞炎
Mudassir Mumtaz1, Sampanna Rayamajhi
1From the Department of Diagnostic, Molecular, and Interventional Radiology, Icahn School of Medicine at Mount Sinai West, New York, NY.
外节自然杀手/T细胞淋巴瘤 (ENKTCL) 可以呈现异常. 这一案例突显了ENKTCL向骨肌肉的传播,模仿了化学疗法尽管有多质神经炎.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 病理学 病理学 病理学
背景情况:
- 外节自然杀手/T细胞淋巴瘤 (ENKTCL) 是一种与爱斯坦-巴尔病毒 (EBV) 相关的侵袭性非霍奇金淋巴瘤.
- 它通常起源于上空消化道粘膜,经常出现在鼻腔区域.
研究的目的:
- 报告一个异常的ENKTCL病例与非典型的疾病进展.
- 为了说明ENKTCL传播的罕见表现,模仿瘤性多质神经炎.
主要方法:
- 一个36岁的男性患者被诊断出患有ENKTCL的案例研究.
- 使用18F-FDG PET/CT用于化疗后的重置阶段.
- 进行了肌肉活检以进行基因病理学确认.
主要成果:
- 该患者在18F-FDG PET/CT上表现出广泛的骨肌肉吸收,这表明了多质神经炎.
- 肌肉活检证实了ENKTCL在骨肌肉中传播的存在.
- 尽管患者接受了三轮SMILE化疗,但这种情况仍然发生.
结论:
- ENKTCL可以呈现异常的疾病进展和传播模式.
- 骨肌参与ENKTCL可能模仿炎症性肌肉病变,需要彻底调查.
- 准确的诊断对于适当管理侵袭性淋巴瘤至关重要.
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