输卵管原发性结外边缘区B细胞淋巴瘤
Primary extranodal marginal zone B-cell lymphoma of the fallopian tube.
作者信息
Noack Frank, Lange Karin, Lehmann Volker, Caselitz Jörg, Merz Hartmut
机构信息
German Consultation and Reference Centre for Lymphomas, Institute of Pathology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany.
出版信息
Gynecol Oncol. 2002 Sep;86(3):384-6. doi: 10.1006/gyno.2002.6761.
BACKGROUND
Only 2% of all extranodal primary lymphomas affect the female genital tract. Involvement of the fallopian tubes by primary lymphoma is extremely rare.
CASE
A 34-year-old patient presented with the symptoms of salpingitis. Laparoscopy with salpingectomy was performed. Salpingitis caused by Acinetobacter species was diagnosed and antibiotic treatment was administered. Histologic examination of the fallopian tube revealed primary extranodal marginal zone B-cell lymphoma (MALT-type lymphoma) of the fallopian tube. After 12 months no tumoral recurrence occurred.
CONCLUSION
Although the female genital tract is rich in mucosa and the existence of mucosa-associated lymphoid tissue (MALT) has been demonstrated previously, extranodal marginal zone B-cell lymphoma of the fallopian tube is exceptional. To our knowledge only two cases with extranodal marginal zone B-cell lymphoma of the fallopian tube have been previously reported. Existence of inflammation close to the tumor is interesting to emphasize.
背景
所有结外原发性淋巴瘤中仅有2%累及女性生殖道。原发性淋巴瘤累及输卵管极为罕见。
病例
一名34岁患者表现出输卵管炎症状。进行了腹腔镜下输卵管切除术。诊断为由不动杆菌属引起的输卵管炎并给予抗生素治疗。输卵管组织学检查显示为输卵管原发性结外边缘区B细胞淋巴瘤（黏膜相关淋巴组织型淋巴瘤）。12个月后未出现肿瘤复发。
结论
尽管女性生殖道富含黏膜且先前已证实存在黏膜相关淋巴组织（MALT），但输卵管结外边缘区B细胞淋巴瘤仍属罕见。据我们所知，此前仅报道过两例输卵管结外边缘区B细胞淋巴瘤病例。强调肿瘤附近存在炎症很有意思。
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