隐藏的恶性病变:小眼肠内作为在成年期扩散大B细胞淋巴瘤的非典型的第一次呈现
Komal Harisinghani1, Parth Adrejiya1, Mohammad Abubaker1
1Department of Internal Medicine, Wellstar Spalding Medical Center, Griffin, GA, USA.
Journal of community hospital internal medicine perspectives
|March 11, 2026
概括
成年人内可是扩散型大B细胞淋巴瘤 (DLBCL),一种非霍奇金淋巴瘤 (NHL) 的罕见症状. 早期检测和治疗对于在这些具有挑战性的病例中取得更好的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 在成年人中,腹腔内是罕见的,恶性瘤是显著的原因.
- 初级肠道淋巴瘤占肠道恶性瘤的1%-4%,主要是B细胞非霍奇金淋巴瘤 (NHL).
- 扩散性大B细胞淋巴瘤 (DLBCL) 可以呈现为无典型B型症状的内.
研究的目的:
- 报告成年人患有DLBCL引起的结肠直肠静脉阻塞病例.
- 为了强调考虑成年人的恶性瘤的重要性.
主要方法:
- 一个33岁的男性的病例介绍,他患有大肠直肠置.
- 诊断工作包括组织病理学和光现场混合 (FISH).
- 治疗包括手术切除,然后进行R-CHOP化疗.
主要成果:
- 一个大的增强质量被确定为内受精的原因.
- 组织病理学和FISH证实DLBCL没有特定的基因重组 (MYC,BCL2,BCL6).
- 患者经历了成功的手术切除,并开始化疗.
结论:
- 在成年人中,应该怀疑恶性病,特别是DLBCL.
- 及时诊断和适当的治疗,包括化疗,至关重要.
- 这个案例突出了DLBCL的不太常见的呈现方式.
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