以AFI为指导的肺MALT淋巴瘤的检测和活检与双边内膜支气管参与
Lynn Y W Shong1, Karen K W Yuen2, Ryan C W Ho1
1Department of Medicine Queen Mary Hospital Hong Kong SAR China.
Respirology case reports
|February 2, 2026
概括
自体光成像 (AFI) 支气管镜检查有助于早期诊断MALT淋巴瘤在呼吸道中的复发. 这种技术识别了病变,导致及时治疗和完整的代谢反应.
科学领域:
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 马尔特淋巴瘤是一种非霍奇金淋巴瘤,可以发生在各种器官,包括胃和呼吸道.
- 呼吸道中MALT淋巴瘤的复发可能带有微妙的症状,使得早期诊断具有挑战性.
研究的目的:
- 评估自光成像 (AFI) 支气管透视镜在早期检测气道MALT淋巴瘤复发中的实用性.
- 评估通过AFI诊断的MALT淋巴瘤复发患者的治疗反应.
主要方法:
- 一名74岁的男性,病史上患有第I期胃MALT淋巴瘤,呈现出血.
- 进行了自光成像 (AFI) 支气管镜检查,揭示了双侧支气管内膜病变.
- 活检证实了MALT淋巴瘤,正电子发射断层扫描计算机断层扫描 (PET-CT) 评估了疾病的程度.
主要成果:
- 经过AFI支气管镜检查,成功发现了可疑MALT淋巴瘤复发的双边内支气管病变.
- 活检的组织病理学检查证实了MALT淋巴瘤.
- PET-CT显示右上叶病变没有节点参与.
结论:
- 自体光成像 (AFI) 支气管镜检查是MALT淋巴瘤复发的早期,以呼吸道为中心的诊断的宝贵工具.
- 在Rituximab治疗后,患者获得了完整的代谢反应,突出显示了有效的治疗管理.
- 这一案例强调了先进成像在识别额外淋巴瘤复发中的重要性.
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