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周心扩散大B细胞淋巴瘤通过计算机断层扫描指导的活检诊断
Toshiya Yoshida1, Midori Nanamatsu1, Shunichi Asano1
1Department of Cardiology, Yokohama Rosai Hospital, Yokohama, Japan.
JACC. Case reports
|September 26, 2025
概括
一个罕见的心周扩散大B细胞淋巴瘤 (DLBCL) 病例被用计算机断层扫描 (CT) 引导的活检诊断出来. 这种微创方法在诊断原发性心周淋巴瘤方面被证明是安全有效的.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 原发性心周淋巴瘤是异常罕见的疾病.
- 扩散性大B细胞淋巴瘤 (DLBCL) 很少会主要表现在心周.
研究的目的:
- 报告通过CT指导活检诊断的心周DLBCL病例.
- 突出CT导向活检在诊断罕见心周质量的实用性.
主要方法:
- 一名57岁的男性出现胸痛和体重减轻,在成像上表现出心周质量.
- 最初的心脏样复杂;随后的CT导向活检证实了DLBCL.
- 治疗包括包括波拉图祖马布 (polatuzumab) 维多丁 (vedotin) 和利图西马布 (rituximab) 的治疗方案.
主要成果:
- 通过CT导向活检成功诊断出心周DLBCL,没有并发症.
- 患者在开始化疗后显示瘤缩.
结论:
- 早期的组织病理学诊断对于有效的淋巴瘤治疗至关重要.
- 在某些特定情况下,CT导向活检是诊断心周淋巴瘤的安全有效方法.
- 多学科的方法对于管理罕见的疾病,如初级心周淋巴瘤至关重要.
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