Kwon S Y, Lee J J, Chung I J, Kim H J, Park M R, Kim H S, Park C S
Department of Internal Medicine, National University Medical School, Kwangju, Korea.
J Korean Med Sci. 1999 Dec;14(6):671-4. doi: 10.3346/jkms.1999.14.6.671.
While T-cell non-Hodgkin's lymphoma (NHL) associated with hemophagocytic syndrome (HPS) has been frequently observed, B-cell NHL associated with HPS has been rarely reported. We report a case of hepatosplenic B-cell lymphoma associated with HPS in a 41-year-old woman who presented with fever of unknown origin. An abdominal CT scan revealed splenomegaly with focal splenic infarction. Splenectomy and a liver wedge biopsy showed sinusoidal-pattern infiltration of medium to large tumor cells with positive reaction to a B-lymphocyte marker. Findings on bone marrow examination showed proliferation of histiocytes with avid hemophagocytosis.
虽然与噬血细胞综合征(HPS)相关的T细胞非霍奇金淋巴瘤(NHL)已屡见不鲜,但与HPS相关的B细胞NHL却鲜有报道。我们报告一例41岁女性肝脾B细胞淋巴瘤合并HPS的病例,该患者以不明原因发热就诊。腹部CT扫描显示脾肿大伴局灶性脾梗死。脾切除术及肝楔形活检显示中到大肿瘤细胞呈窦状浸润,对B淋巴细胞标志物呈阳性反应。骨髓检查结果显示组织细胞增生并伴有活跃的噬血细胞现象。