在患有同时患有胃粘膜关联淋巴组织淋巴瘤和结核潜在模仿侵袭性血管内淋巴瘤的患者中,反应性血管内血/免疫细胞扩散:一个罕见的病例报告
Ling Ling Zhong1,2, Zhi Ping Tang3, Hai Peng Zhang1
1Department of Pathology, The 924th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force, Guilin, China.
Case reports in gastroenterology
|October 9, 2025
概括
反应性血管内血/免疫细胞增殖 (RIVPIP) 可以模仿淋巴瘤. 这一案例突出了胃MALT淋巴瘤和结核病患者的RIVPIP,强调了诊断挑战.
科学领域:
- 病理学 病理学 病理学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 反应性血管内血/免疫细胞增殖 (RIVPIP) 是一种罕见的疾病.
- RIVPIP可能被误诊为侵袭性血管内淋巴瘤.
- 同时的惰性淋巴瘤和结核病可能会使RIVPIP诊断复杂化.
研究的目的:
- 报告一个不寻常的RIVPIP病例.
- 为了突出区分RIVPIP和淋巴瘤的诊断挑战.
- 强调全面评估对于准确诊断的重要性.
主要方法:
- 一个79岁的女性患有胃部症状的案例介绍.
- 胃内镜和活检分析.
- 免疫类型,基因分析和结核病检测.
主要成果:
- 活检显示胃MALT淋巴瘤,结核病和广泛的RIVPIP.
- 血管内大型淋巴细胞显示出高的增殖活性.
- 在IgH,IgK和IgL基因中检测到单克隆重排.
结论:
- 瑞维皮可以模仿侵袭性血管内淋巴瘤.
- 同时出现胃MALT淋巴瘤和结核病,并出现严重的全身症状.
- 准确的诊断需要对临床,病理,免疫类型和遗传发现进行全面评估.
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