肠道非霍奇金淋巴瘤与腹膜淋巴瘤,模仿急性尾炎
María Guadalupe Sánchez-Villegas1,2, Daniel Zúñiga-Mejía1,2, Elio Germán Recinos-Carrera3
1Faculty of Medicine, National Autonomous University of Mexico (UNAM), Escolar 411A, Copilco Universidad, Coyoacán, 04360 Mexico City, Mexico.
Journal of surgical case reports
|March 27, 2025
概括
尾淋巴瘤是一种罕见的非霍奇金淋巴瘤 (NHL),可在HIV阳性患者中模仿急性尾炎 (AA). 早期诊断和手术干预对于有效管理这种不常见的胃肠道恶性瘤至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 胃肠道是非霍奇金淋巴瘤 (NHL) 的常见外节部位.
- 尾淋巴瘤,尤其是涉及腹的淋巴瘤,异常罕见.
- 尾淋巴瘤通常呈现为急性尾炎 (AA),使诊断复杂化.
研究的目的:
- 在艾滋病毒阳性患者中报告一个罕见的尾非霍奇金淋巴瘤 (NHL) 病例,呈急性尾炎 (AA).
- 突出诊断方面的挑战,并强调在疑似病例中进行遗传病理学评估的重要性.
主要方法:
- 一个29岁的艾滋病毒感染男性的病例报告呈现了AA的症状.
- 术内发现导致程序放弃和随后的调查.
- 一个周围膜样本的组织病理学分析.
主要成果:
- 在手术期间发现的发现包括硬化,,腹腔厚化和巨病变.
- 手术后的评估排除了腹膜结核病 (PTB).
- 组织病理学证实了附录的非霍奇金淋巴瘤 (NHL) 与腹膜干涉.
结论:
- 在急性尾炎 (AA) 的差分诊断中应考虑尾NHL,特别是在HIV阳性个体中.
- 常规的组织病理学检查和手术干预对于准确的诊断和管理至关重要.
- 这一案例强调了在异常呈现时考虑罕见恶性瘤的重要性.
相关概念视频
Appendicitis-I: Introduction
73
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
73
Appendicitis-II: Diagnostic Studies and Management
54
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
54
Abdominal Regions and Quadrants
6.8K
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
6.8K
Inflammatory Bowel Disease II: Crohn's Disease
141
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
141


