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以慢性低热为表现的原发性肾淋巴瘤。

Primary renal lymphoma presenting with chronic low-grade fever.

作者信息

Zomas A, Leivada A, Gortzolidis G, Michalis E, Skandalis A, Anagnostopoulos N I

机构信息

Department of Clinical Haematology, G. Gennimatas Regional General Hospital of Athens, Athens, Greece.

出版信息

Int J Hematol. 2004 May;79(4):361-3. doi: 10.1532/ijh97.e0320.

DOI:10.1532/ijh97.e0320
PMID:15218966
Abstract

Primary renal lymphoma (PRL) is a rare form of extranodal non-Hodgkin's lymphoma often diagnosed and treated by oncologists and urologists. Pathophysiological and clinical data on PRL are sparse, but the limited reported experience suggests the disease usually has an ominous outcome. As in other renal tumors, comprehensive radiological investigations have a central role in the recognition and final diagnosis of PRL. We describe the presenting features and clinical course of an elderly woman who was found to have PRL after evaluation for persistent low-grade fever. Diagnostic and therapeutic caveats are discussed on the basis of a critical literature review of case reports and descriptions of small series of patients.

摘要

原发性肾淋巴瘤(PRL)是一种罕见的结外非霍奇金淋巴瘤,通常由肿瘤学家和泌尿科医生进行诊断和治疗。关于PRL的病理生理和临床数据稀少,但有限的报道经验表明该疾病通常预后不佳。与其他肾肿瘤一样,全面的影像学检查在PRL的识别和最终诊断中起着核心作用。我们描述了一名老年女性的临床表现和临床病程,她在因持续低热接受评估后被发现患有PRL。在对病例报告和小系列患者描述进行批判性文献综述的基础上,讨论了诊断和治疗方面的注意事项。

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本文引用的文献

1
Primary renal lymphoma of mucosa-associated lymphoid tissue.黏膜相关淋巴组织原发性肾淋巴瘤。
Urology. 2003 Feb;61(2):463. doi: 10.1016/s0090-4295(02)02267-7.
2
Uncommon presentations of non-Hodgkin's lymphoma: case 3. Primary renal lymphoma.非霍奇金淋巴瘤的罕见表现:病例3。原发性肾淋巴瘤。
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EUS-guided fine-needle aspiration of a renal mass: an alternative method for diagnosis of malignancy.
Gastrointest Endosc. 2002 Sep;56(3):450-2. doi: 10.1016/s0016-5107(02)70062-x.
肾活检证实的淋巴瘤肾脏受累:来自一家三级医疗中心的 10 例报告并与文献比较。
Int J Hematol. 2022 Nov;116(5):678-695. doi: 10.1007/s12185-022-03411-y. Epub 2022 Jul 13.
4
Systemic vs. intrathecal central nervous system prophylaxis in primary adrenal/renal diffuse large b-cell LYMPHOMA: A multi-institution retrospective analysis and systematic review.原发性肾上腺/肾弥漫性大B细胞淋巴瘤中全身与鞘内中枢神经系统预防:一项多机构回顾性分析与系统评价
Leuk Res Rep. 2021 Aug 3;16:100263. doi: 10.1016/j.lrr.2021.100263. eCollection 2021.
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Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review.巨大原发性肾弥漫性大B细胞淋巴瘤:一例报告及文献复习
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Primary renal non-Hodgkin's lymphoma - a difficult differential diagnosis.原发性肾非霍奇金淋巴瘤——一项困难的鉴别诊断。
Onkologie. 2002 Jun;25(3):273-7. doi: 10.1159/000064322.
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