上部胃肠道出血 由于扩散型大B细胞淋巴瘤的胃侵袭而导致的第二次出血
Helen Paglia1, Marco Noriega2, Kinnari R Kher3
1Internal Medicine, Memorial Healthcare, Savannah, USA.
Cureus
|November 17, 2025
概括
本案例研究详细介绍了一个罕见的胃肠道上部出血病例,由扩散性大B细胞淋巴瘤 (DLBCL) 引起. 广泛的额外节淋巴瘤参与提出了诊断和管理挑战.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 血液学 血液学 血液学
背景情况:
- 扩散性大B细胞淋巴瘤 (DLBCL) 是非霍奇金淋巴瘤最常见的亚型.
- 上部胃肠道出血 (UGIB) 可能源于各种原因,包括恶性瘤.
- 在DLBCL的外节参与可以使呈现和治疗复杂化.
研究的目的:
- 报告一个罕见的UGIB病例,该病例是DLBCL的次要病例,涉及到广泛的节外部.
- 为了说明与恶性瘤诱导的UGIB相关的诊断和管理复杂性.
- 突出瘤诱导的新血管化作为UGIB的一个因素.
主要方法:
- 一个80岁的男性患有UGIB的案例介绍.
- 诊断工作包括成像和内镜.
- 与内镜血液静止的干预.
主要成果:
- 诊断出DLBCL涉及肝脏,胆囊,下腔静脉和胃,导致大胃.
- 图像检测显示了多个质量,这些质量表明了 extranodal 淋巴瘤.
- 内镜血液静止因瘤诱导的新血管化而复杂化.
结论:
- DLBCL可能是UGIB的罕见原因.
- 广泛的外节淋巴瘤带来了重大的诊断和管理挑战.
- 恶性病引起的出血需要在UGIB的差异诊断中仔细考虑.
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