Villafañe María Florencia, Trione Norberto, Corti Marcelo, Mendez Nora, Gancedo Elisa, Zamora Norberto, Levin Marta
Division "B", HIV/AIDS, Infectious Diseases F.J. Muñiz Hospital, Buenos Aires, Argentina.
Rev Inst Med Trop Sao Paulo. 2006 Jul-Aug;48(4):229-31. doi: 10.1590/s0036-46652006000400011.
Non-Hodgkin's lymphomas (NHL) are the second most frequent malignancies in AIDS patients. The majority of NHL associated with AIDS involves extranodal sites, especially the digestive tract and the central nervous system. Primary liver lymphoma (PLL) is an uncommon neoplasm among these patients. Ultrasonography and computed tomography scans may be helpful in the diagnosis of focal hepatic lymphoma. Image-guided fine-needle biopsy with histopathology of the liver lesions is the gold standard for the diagnosis of hepatic lymphoma. We report a case of PLL as the initial manifestation of AIDS in a patient without any previous infection by hepatitis C or B virus, presented as multiple and large hepatic masses.
非霍奇金淋巴瘤（NHL）是艾滋病患者中第二常见的恶性肿瘤。大多数与艾滋病相关的NHL累及结外部位，尤其是消化道和中枢神经系统。原发性肝淋巴瘤（PLL）在这些患者中是一种罕见的肿瘤。超声检查和计算机断层扫描可能有助于局灶性肝淋巴瘤的诊断。肝病变的图像引导下细针穿刺活检及组织病理学检查是肝淋巴瘤诊断的金标准。我们报告一例PLL作为艾滋病首发表现的病例，该患者既往无丙型或乙型肝炎病毒感染史，表现为多发且巨大的肝肿块。
