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一种罕见的初级输出淋巴瘤诊断,呈现三腔输出:一个病例报告
Hari Movva1, Yasamin Rastgar2, Kinan Obeidat1
1Internal Medicine, University of Texas Medical Branch at Galveston, Galveston, USA.
Cureus
|September 8, 2025
概括
一个案例报告详细介绍了一名患有先进的艾滋病毒/艾滋病的跨性别女性,并没有遵守ART,她患上了原发性输液淋巴瘤 (PEL). 这种罕见的癌症呈现为多腔流血和自发性细菌周周炎.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 初级输液淋巴瘤 (PEL) 是一种与人类免疫缺陷病毒 (HIV) 相关的侵袭性非霍奇金淋巴瘤.
- PEL通常呈现为无可辨别的固体瘤质量的血清性输液.
- 管理方面的挑战包括患者不遵守抗逆转录病毒疗法 (ART) 和PEL的罕见性.
研究的目的:
- 呈现一个临床病例的初级流血淋巴瘤 (PEL) 在一个被监禁的跨性别女性与先进的艾滋病毒/艾滋病.
- 突出PEL的诊断方式.
- 提供PEL目前的管理策略的概述.
主要方法:
- 一个50岁的被监禁的跨性别女性的案例报告.
- 诊断工作包括细胞学涂抹,流动细胞计和输出液的免疫染.
- 分析了临床表现和患者病史.
主要成果:
- 这位患者出现了腹,肺和心脏周围液.
- 喷液因自发性细菌腹膜炎 (SBP) 而复杂化.
- 诊断方法证实了原发性输液淋巴瘤 (PEL).
结论:
- 初级输出性淋巴瘤 (PEL) 在晚期的艾滋病毒/艾滋病患者中可以表现为多腔输出.
- 通过细胞学,流细胞计和免疫染,对早期和准确的诊断至关重要.
- 管理需要一个多学科的方法,解决淋巴瘤和艾滋病毒/ART坚持.
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