子宫血管内大B细胞淋巴瘤表现为不明原因发热（FUO），并通过氟代脱氧葡萄糖正电子发射断层扫描（FDG-PET）得以确诊。

Intravascular large B-cell lymphoma of the uterus presenting as fever of unknown origin (FUO) and revealed by FDG-PET.

作者信息

Lannoo L, Smets S, Steenkiste E, Delforge M, Moerman P, Stroobants S, Knockaert D, Amant F

机构信息

Division of Gynaecologic Oncology, Department of Obstetrics and Gynaecology, UZ Gasthuisberg, Katholieke Universiteit Leuven, Belgium.

出版信息

Acta Clin Belg. 2007 May-Jun;62(3):187-90. doi: 10.1179/acb.2007.031.

DOI:10.1179/acb.2007.031

PMID:17672184

Abstract

Non-Hodgkin's lymphoma (NHL) is a common cause of Fever of Unknown Origin (FUO) but the presentation as a gynaecologic malignancy is exceedingly rare. To our knowledge, this represents the first report of an intravascular large B-cell lymphoma of the uterus presenting with fever of unknown origin. After a standard clinical work-up for FUO, the endometrial curettage directed by the finding of a localized fluoro-deoxyglucose Positron Emission Tomography (FDG-PET) hot spot in the pelvic area, yielded material revealing an intr avascular B-cell lymphoma. A total abdominal hysterectomy confirmed the presence of an intravascular large B-cell lymphoma in the lumina of small blood vessels of the uterus.

摘要

非霍奇金淋巴瘤（NHL）是不明原因发热（FUO）的常见病因，但表现为妇科恶性肿瘤极为罕见。据我们所知，这是首例子宫血管内大B细胞淋巴瘤伴不明原因发热的报告。在对FUO进行标准临床检查后，根据盆腔局部氟脱氧葡萄糖正电子发射断层扫描（FDG-PET）热点的发现进行子宫内膜刮除术，所获材料显示为血管内B细胞淋巴瘤。全腹子宫切除术证实子宫小血管腔内存在血管内大B细胞淋巴瘤。