收集1例血管内大B细胞淋巴瘤(intravascular large B-cell lymphoma,IVLBCL)的病例资料并复习相关参考文献。患者主要临床表现为多浆膜腔积液和发热,经骨髓病理活检确诊,经CHOP样方案化疗后好转。IVLBCL是一种少见的结外弥漫大B细胞淋巴...收集1例血管内大B细胞淋巴瘤(intravascular large B-cell lymphoma,IVLBCL)的病例资料并复习相关参考文献。患者主要临床表现为多浆膜腔积液和发热,经骨髓病理活检确诊,经CHOP样方案化疗后好转。IVLBCL是一种少见的结外弥漫大B细胞淋巴瘤,其确诊需要结合病理活检及免疫组织化学,需与原发渗出性淋巴瘤和原发性骨淋巴瘤进行鉴别。展开更多
Inflammatory pseudotumor(IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can...Inflammatory pseudotumor(IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for accurate diagnosis and cure. Moreover the true nature of IPT, its origin as a neoplastic entity or an overreactive inflammatory reaction to an unknown trigger, has been a long debated matter. Surgery remains the treatment of choice. IPT is mostly an indolent disease with minimal morbidity and mortality. Local invasion and metastasis predict a poor prognosis. We hereby present a unique case of pulmonary IPT that was surgically excised, but recurred contralaterally, shortly thereafter. Despite no medical or surgical treatment for ten years, the lesion has remained stable in size, with neither symptoms nor extra-pulmonary manifestations.展开更多
文摘收集1例血管内大B细胞淋巴瘤(intravascular large B-cell lymphoma,IVLBCL)的病例资料并复习相关参考文献。患者主要临床表现为多浆膜腔积液和发热,经骨髓病理活检确诊,经CHOP样方案化疗后好转。IVLBCL是一种少见的结外弥漫大B细胞淋巴瘤,其确诊需要结合病理活检及免疫组织化学,需与原发渗出性淋巴瘤和原发性骨淋巴瘤进行鉴别。
文摘Inflammatory pseudotumor(IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for accurate diagnosis and cure. Moreover the true nature of IPT, its origin as a neoplastic entity or an overreactive inflammatory reaction to an unknown trigger, has been a long debated matter. Surgery remains the treatment of choice. IPT is mostly an indolent disease with minimal morbidity and mortality. Local invasion and metastasis predict a poor prognosis. We hereby present a unique case of pulmonary IPT that was surgically excised, but recurred contralaterally, shortly thereafter. Despite no medical or surgical treatment for ten years, the lesion has remained stable in size, with neither symptoms nor extra-pulmonary manifestations.
