Utsunomiya M, Takatera H, Itoh H, Tsujimura T, Itatani H
Department of Urology, Sumitomo Hospital.
Hinyokika Kiyo. 1992 Mar;38(3):311-4.
A 72-year-old woman with bilateral non-Hodgkin's lymphoma of the adrenal glands causing adrenal insufficiency is reported. The left-side lymphoma (diffuse large B-cell lymphoma) was removed surgically but the right-side lymphoma could not be removed. Complete response was obtained with subsequent combined chemotherapy and was maintained for 6 months with repeated chemotherapies. However, the patient died of liver recurrence 1 year after admission. In cases of malignant lymphoma forming a bulky mass, surgery with subsequent chemotherapy appears to reduce the cancer volume and improve the therapeutic outcome.
报告了一名72岁女性,患有双侧肾上腺非霍奇金淋巴瘤导致肾上腺功能不全。左侧淋巴瘤(弥漫性大B细胞淋巴瘤)通过手术切除,但右侧淋巴瘤无法切除。随后的联合化疗取得了完全缓解,并通过重复化疗维持了6个月。然而,患者在入院1年后死于肝脏复发。对于形成巨大肿块的恶性淋巴瘤病例,手术联合后续化疗似乎可以缩小癌体积并改善治疗效果。