Kuna Anna, Wojtacha Anna, Kostro Justyna, Nahorski Wacław L
Klinika Chorób Tropikalnych i Pasozytniczych, Akademickie Centrum Medycyny Morskiej i Tropikalnej Społecznego Publicznego Szpitala Klinicznego Akademii Medycznej w Gdańsku.
Pol Merkur Lekarski. 2005 Nov;19(113):671-3.
Neoplasm of B-cell origin is the most frequent malignant disease of the lymphatic tissue. It is usually presented as enlargement of lymph nodes, hepatosplenomegaly, skeletal pains and gastrointestinal dysfunction. Splenic lymphoma can cause the difficulties in diagnostic procedures (ultrasound and computed tomography). It may be nearly anechoic and mimic a cyst, abscess or parasitic mass. We describe a course of the disease and diagnostic troubles noted in 71-years-old patient, in whom splenic cysts enlarging rapidly were observed. Splenectomy due to presented difficulties in diagnosis such as clinical disquiet about subsequent course of the disease was performed. It let us to recognize malignant lymphoma and initiate a correct treatment strategy.
B 细胞起源的肿瘤是淋巴组织最常见的恶性疾病。它通常表现为淋巴结肿大、肝脾肿大、骨骼疼痛和胃肠功能障碍。脾淋巴瘤会给诊断程序（超声和计算机断层扫描）带来困难。它可能几乎无回声，类似囊肿、脓肿或寄生虫肿块。我们描述了一名 71 岁患者的病程及诊断困难，该患者脾脏囊肿迅速增大。由于诊断困难，如对疾病后续病程的临床担忧，进行了脾切除术。这使我们能够识别恶性淋巴瘤并启动正确的治疗策略。
