Keramidas Dimitris C, Antoniou Dimitris, Marinos Leonidas
Department of Pediatric Surgery, Mitera Maternity and Children's Hospital, 151 23 Athens, Greece.
J Pediatr Surg. 2007 Jul;42(7):1295-7. doi: 10.1016/j.jpedsurg.2007.02.030.
An 11-year-old boy presented with symptoms of periappendiceal abscess. At laparotomy, a tumor-like mass involving the ileocecal mesentery and adjacent part of the cecum and covered by the omentum was found. A right hemicolectomy was performed, followed by primary ileocolic anastomosis. On histologic examination, the tumor-like mass proved to be a lymph node block pushing the adjacent wall of the cecum. The overall histologic and immunophenotypic findings were consistent with (a) abnormal immune lesion mimicking lymphomatous process because of infection by Epstein-Barr virus and (b) extensive acute inflammatory infiltration of the cecum and adjacent tissues.
一名11岁男孩出现阑尾周围脓肿症状。剖腹手术时，发现一个肿瘤样肿块，累及回盲部系膜及盲肠相邻部分，并被大网膜覆盖。行右半结肠切除术，随后进行一期回结肠吻合术。组织学检查显示，肿瘤样肿块为一个淋巴结团块，推移了盲肠相邻壁。组织学和免疫表型的总体结果符合：(a) 因感染爱泼斯坦-巴尔病毒而模拟淋巴瘤过程的异常免疫病变；(b) 盲肠及相邻组织广泛的急性炎症浸润。
