脾脏T淋巴母细胞性淋巴瘤二例
摘要
<正>病例资料患者1,男,20岁,因淋巴瘤末次化疗术后50余d,腹痛3d入院。查体:左上腹压痛明显,无明显反跳痛。肝脏肋下未及,脾脏触诊不满意。血常规示:WBC 155.9×109/L,PLT 19×109/L,HB85g/L。CT诊断脾肿大伴脾破裂(图1)。术中探查:脾脏明显增大,约25cm×15cm,脾脏有多个2cm左右裂口,肝脏质地可。病理:弥漫性单形性小圆细胞浸润伴广泛坏死,诊断为脾T淋巴母细胞性淋巴瘤。免
引文
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[2]熊淑红,肖琼,冯贵锋,等.原发性胸腺淋巴瘤的CT诊断[J].放射学实践,2014,29(6):654-658.
[3]Dachman AH,Buck JL,Krishnan J,et al.Primary non-Hodgkin's splenic lymphoma[J].Clin Radiol,1998,53(2):137-142.
[4]Li M,Zhang L,Wu N,et al.Imaging Findings of Primary Splenic Lymphoma:a review of 17cases in which diagnosis was made at splenectomy[J].Plos One,2013,8(11):e80264.
[5]Lewis RE,Cruse JM,Sanders CM,et al.The immunophenotype of pre-TALL/LBL revisited[J].Exp Mol Pathol,2006,81(2):162-165.
[6]谢佩怡,孟晓春,覃杰,等.脾脏淋巴瘤的CT/MRI诊断[J].当代医学,2013,19(2):25-27.
[7]Coppola S,Leva A,Pagni F,et al.Demanding diagnosis of splenic angiosarcoma as cause of delayed treatment of spontaneous splenic rupture:a case report and literature review[J].Case Rep Surg,2017:6256102.
[8]Watanabe H,Osawa H,Yasumasa K,et al.Two resected cases of non-isolated splenic metastasis of colon cancer[J].Gan To Kagaku Ryoho,2017,44(12):1132-1134.
[9]王旭荣,黄田业,陈少杰.脾脏转移瘤的螺旋CT诊断[J].放射学实践,2006,21(2):160-162.