扩散大B细胞淋巴瘤的入侵到右关动脉移植
Koki Yokawa1, Yukihiro Imai2, Taku Nakagawa1
1Department of Cardiovascular Surgery, Kakogawa Central City Hospital, Kakogawa, Hyogo, Japan.
Annals of vascular diseases
|March 28, 2025
概括
一个罕见的扩散性大B细胞淋巴瘤 (DLBCL) 病例发生在一个有大动脉剖析修复史的患者的旁路移植周围. 这突出了DLBCL作为一个关键的,虽然不常见的,考虑在移植相关的并发症.
科学领域:
- 心血管外科心血管外科
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 一名76岁的男性出现了右下关节区域的胀和疼痛,这是大动脉手术后两年的情况.
- 该患者有右关动脉旁路和门替换的病史,用于在内血管修复后的逆行型A大动脉剖析.
研究的目的:
- 报告一种极为罕见的扩散性大B细胞淋巴瘤 (DLBCL) 病例,该病例发生在血管移植的背景下.
- 强调在对移植相关并发症的差异诊断中考虑DLBCL的重要性.
主要方法:
- 评估了临床表现和成像 (计算机断层扫描).
- 最初怀疑手术部位感染,但培养物呈阴性.
- 对受影响组织的病理检查证实了扩散性大B细胞淋巴瘤 (DLBCL).
主要成果:
- 计算机断层扫描显示了周周移植,但微生物培养是负的.
- 组织病理学分析显示,扩散性大B细胞淋巴瘤 (DLBCL) 是患者症状的原因.
- 患者的病情阻止了化疗,他三个月后去世了.
结论:
- 在血管移植周围产生的扩散性大B细胞淋巴瘤 (DLBCL) 是一种极其罕见的临床实体.
- 这一案例凸显了在患者呈现与移植相关并发症的差异诊断中包括DLBCL的必要性,即使在负面的感染治疗后也是如此.
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