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表现为潘科斯特综合征的肺外淋巴瘤样肉芽肿病。

Extrapulmonary lymphomatoid granulomatosis presenting as Pancoast's syndrome.

作者信息

Dolan G, Smith J, Reilly J T

机构信息

Department of Haematology, Northern General Hospital, Sheffield, UK.

出版信息

Postgrad Med J. 1991 Oct;67(792):914-5. doi: 10.1136/pgmj.67.792.914.

DOI:10.1136/pgmj.67.792.914
PMID:1661891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2399176/
Abstract

We report the case of a 55 year old man who presented as Pancoast's syndrome associated with a left sided Horner's syndrome, a mass in the left supraclavicular fossa and marked weakness with wasting of the left arm consistent with a left sided brachial plexus lesion. Biopsy revealed the typical features of lymphomatoid granulomatosis. Neurological involvement is a rare presenting manifestation of this uncommon disease. Lymphomatoid granulomatosis should be considered as a rare but potentially treatable cause of Pancoast's syndrome.

摘要

我们报告了一例55岁男性患者,该患者表现为潘科斯特综合征,伴有左侧霍纳综合征、左锁骨上窝肿块以及与左侧臂丛神经病变相符的左臂明显无力和萎缩。活检显示为淋巴瘤样肉芽肿的典型特征。神经系统受累是这种罕见疾病罕见的首发表现。淋巴瘤样肉芽肿应被视为潘科斯特综合征的一种罕见但可能可治疗的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980d/2399176/04f894ae78ad/postmedj00082-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980d/2399176/04f894ae78ad/postmedj00082-0050-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/980d/2399176/04f894ae78ad/postmedj00082-0050-a.jpg

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1
Extrapulmonary lymphomatoid granulomatosis presenting as Pancoast's syndrome.表现为潘科斯特综合征的肺外淋巴瘤样肉芽肿病。
Postgrad Med J. 1991 Oct;67(792):914-5. doi: 10.1136/pgmj.67.792.914.
2
Hepatocellular carcinoma with Pancoast's syndrome as an initial symptom: a case report.以潘科斯特综合征为首发症状的肝细胞癌:一例报告
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[Pancoast's syndrome secondary to neck metastasis with normal radiography of the thorax].[颈部转移继发的潘科斯特综合征,胸部X线检查正常]
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Evaluation of the causes and accuracy of pharmacologic localization in Horner's syndrome.霍纳综合征中药物定位的原因及准确性评估。
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引用本文的文献

1
Horner's Syndrome as Initial Manifestation of Possible Brachial Plexopathy Neurolymphomatosis.霍纳综合征作为可能的臂丛神经淋巴瘤性神经病变的初始表现。
Front Neurol. 2019 Jan 22;10:4. doi: 10.3389/fneur.2019.00004. eCollection 2019.
2
Horner syndrome: clinical perspectives.霍纳综合征:临床视角
Eye Brain. 2015 Apr 10;7:35-46. doi: 10.2147/EB.S63633. eCollection 2015.
3
Pancoast tumors: characteristics and preoperative assessment.潘科斯特肿瘤:特征与术前评估

本文引用的文献

1
Neurologic complications of lymphomatoid granulomatosis.淋巴瘤样肉芽肿病的神经系统并发症
Neurology. 1981 May;31(5):619-20. doi: 10.1212/wnl.31.5.619.
2
Lymphomatoid Granulomatosis. Prospective clinical and therapeutic experience over 10 years.淋巴瘤样肉芽肿病。10年的前瞻性临床与治疗经验。
N Engl J Med. 1982 Jan 14;306(2):68-74. doi: 10.1056/NEJM198201143060203.
3
Lymphomatoid granulomatosis.淋巴瘤样肉芽肿病
J Thorac Dis. 2014 Mar;6 Suppl 1(Suppl 1):S108-15. doi: 10.3978/j.issn.2072-1439.2013.12.29.
4
Pancoast syndrome: A rare presentation of non-Hodgkin's lymphoma.潘科斯特综合征:非霍奇金淋巴瘤的一种罕见表现。
Lung India. 2013 Jul;30(3):209-11. doi: 10.4103/0970-2113.116266.
5
Pancoast syndrome caused by a high grade B cell lymphoma.由高级别B细胞淋巴瘤引起的潘科斯特综合征。
Thorax. 1994 Jan;49(1):92-3. doi: 10.1136/thx.49.1.92.
Hum Pathol. 1972 Dec;3(4):457-558. doi: 10.1016/s0046-8177(72)80005-4.
4
Lymphomatoid granulomatosis: a clinicopathologic study of 152 cases.
Cancer. 1979 Jan;43(1):360-73. doi: 10.1002/1097-0142(197901)43:1<360::aid-cncr2820430151>3.0.co;2-8.