胆固醇黄作为古典霍奇金淋巴瘤的初始表现:一个诊断挑战
Idan Grossmann1, Petro Vavrukh2, Jasminka Balderacchi3
1Internal Medicine, Hackensack Meridian Health Jersey Shore University Medical Center, Neptune, USA.
Cureus
|December 22, 2025
概括
本案例研究呈现了一种罕见的霍奇金淋巴瘤 (HL),最初表现为肝功能障碍和黄. 它强调考虑无法解释的肝脏问题中的恶性瘤,以及肝脏活检对诊断的价值.
科学领域:
- 在瘤学瘤学.
- 肝病学 肝病学是一种肝病学.
- 病理学 病理学 病理学
背景情况:
- 霍奇金淋巴瘤 (HL) 典型地涉及淋巴系统,具有B型症状和淋巴腺病.
- 肝脏参与和肝脏功能障碍的初始呈现在HL中不常见.
研究的目的:
- 报告一种罕见的霍奇金淋巴瘤病例,最初出现肝功能障碍.
- 强调在无法解释的肝功能障碍中考虑透性恶性瘤的重要性.
主要方法:
- 一个47岁的患者病例报告,患有渐进的黄和虚弱.
- 诊断不确定性导致肝脏活检以确定确诊.
主要成果:
- 肝活检显示了霍奇金和里德-斯特恩伯格细胞,证实了经典HL.
- 患者的表现模仿了肝功能障碍的其他原因.
结论:
- 这一案例突显了HL罕见的肝脏表现,即胆固醇黄.
- 突出肝活检在诊断无法解释的肝功能障碍时的关键作用,当非侵入性方法是不确定的.
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