McDermott E W, Cassidy N, Heffernan S J
Department of Surgery, Mater Misericordiae Hospital, Dublin, Ireland.
Cancer. 1992 Jan 15;69(2):572-3. doi: 10.1002/1097-0142(19920115)69:2<572::aid-cncr2820690248>3.0.co;2-x.
A case is described of fatal perforation of the small bowel through an area of undiagnosed secondary involvement from primary thyroid lymphoma during treatment by chemotherapy. There is a known association between primary thyroid lymphoma and gastrointestinal metastases. To avoid this lethal complication, a specific search should be made for gastrointestinal involvement before chemotherapy is started in patients with advanced thyroid lymphoma.
本文描述了一例在化疗治疗期间,小肠因原发性甲状腺淋巴瘤未被诊断出的继发性累及区域而发生致命穿孔的病例。原发性甲状腺淋巴瘤与胃肠道转移之间存在已知关联。为避免这种致命并发症,对于晚期甲状腺淋巴瘤患者,在开始化疗前应专门检查是否存在胃肠道累及情况。