外节边缘区域B细胞淋巴瘤呈现为在口器空间的无痛口腔质量
Li Lin1, Jiun-Sheng Lin1,2
1Department of Oral and Maxillofacial Surgery, MacKay Memorial Hospital, Taipei, Taiwan, Republic of China.
Journal of medical cases
|March 13, 2026
概括
外节边缘区域B细胞淋巴瘤 (EMZL) 很少影响口器空间. 这一案例突出了被诊断为EMZL的缓慢生长的脸质量,强调了在头部和部质量中需要考虑淋巴瘤的必要性.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 血液学 血液学 血液学
背景情况:
- 外带边缘区域B细胞淋巴瘤 (EMZL),也称为粘膜相关淋巴组织 (MALT) 淋巴瘤,是一种惰的非霍奇金淋巴瘤.
- EMZL通常会影响外节部位,但深层面部空间,特别是口空间的参与非常罕见.
- 空间EMZL可以呈现为无痛的,缓慢扩大的质量,可能模仿良性病变.
研究的目的:
- 报告一种罕见的原发性额外节边缘区域B细胞淋巴瘤,该淋巴瘤发生在口器空间.
- 强调在对持久性头部和部群体的差异诊断中考虑淋巴瘤的重要性.
- 为了说明这种罕见的呈现的诊断过程和多学科管理.
主要方法:
- 一个67岁的妇女的病例介绍,她有四年的左脸质量病史.
- 临床检查和对比增强型计算机断层扫描 (CT) 来描述软组织质量.
- 内口切口活检与免疫组织化学分析 (CD20,BCL-2,CD5,CD10,CD23,BCL-6,CD21染色) 进行.
- 多学科瘤委员会讨论治疗建议.
主要成果:
- 在左口腔中发现了一个3厘米的透软组织质量.
- 活检显示B细胞的密集透与EMZL一致,其特征是特定的免疫表型和卵泡殖民.
- 建议的治疗包括参与部位放射治疗和基于rituximab的免疫治疗.
结论:
- 消化器空间的初级EMZL是一种罕见的实体,需要高度的怀疑指数.
- 组织诊断对于透性头部和部病变至关重要,以区分从良性病症.
- 在复杂的头恶性瘤中,协调器官保存治疗策略的多学科护理至关重要.
相关概念视频
Assessment of the Mouth
1.4K
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
1.4K
Oral Cavity
3.6K
The oral cavity, or the mouth, is a complex structure in humans that plays a vital role in our day-to-day lives. Its role is not only in chewing and swallowing food; it also plays a role in speech and facial expressions.
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
Teeth: The teeth are the hardest structures in our bodies. Humans have two sets of teeth throughout their lifetime: deciduous (baby) teeth and permanent teeth. Each tooth consists of several parts: the crown (visible part), the root (embedded in the jaw), enamel (hard outer...
3.6K
Secondary Lymphoid Organs
10.0K
Secondary organs, including lymph nodes, the spleen, and mucosa-associated lymphoid tissue (MALT), work harmoniously to protect us from disease and infection.
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
10.0K
Primary Lymphoid Organs
16.4K
Primary lymphoid organs are pivotal in the formation, development, and maturation of lymphocytes, the white blood cells that serve as the backbone of our immune system. This crucial function underscores their fundamental role in maintaining our overall health and immunity. The two primary lymphoid organs of prime importance are the red bone marrow and the thymus.
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
16.4K


