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胸腺瘤伴慢性腹泻:两例报告并文献复习

Thymoma with chronic diarrhea: report of two cases and review of the literature.

作者信息

Yildiz Ozcan, Ozguroglu Mustafa, Turna Hande, Yanmaz Teoman, Kaynak Kamil, Akman Canan, Cetin Sibel Erdamar, Oz Buge, Celik Aykut

机构信息

Cerrahpasa Medical Faculty, Department of Internal Medicine, Division of Medical Oncology, Istanbul University, Istanbul, Turkey.

出版信息

Med Oncol. 2007;24(1):119-23. doi: 10.1007/BF02685913.

Abstract

Thymoma associated with hypogammaglobulinemia and profound susceptibility to recurrent and serious infections was first reported by Good in 1954, after whom it was named as Good's syndrome. Chronic diarrhea associated with thymoma is almost always seen in patients with hypogammaglobulinemia. However, chronic diarrhea in a setting of normal gammaglobulins have been rarely reported. We hereby report two cases of thymoma with normal immune functions, presenting with chronic diarrhea as the only symptom of thymic malignancy. We discussed the etiopathogenic relation between thymic pathology and diarrhea and review the cases of thymoma associated with chronic diarrhea in the English literature.

摘要

1954年,古德首次报道了与低丙种球蛋白血症及反复严重感染的高度易感性相关的胸腺瘤,该病以他的名字命名为古德综合征。与胸腺瘤相关的慢性腹泻几乎总是见于低丙种球蛋白血症患者。然而,在丙种球蛋白正常情况下出现慢性腹泻的情况鲜有报道。我们在此报告两例免疫功能正常的胸腺瘤患者,其仅以慢性腹泻作为胸腺恶性肿瘤的唯一症状。我们讨论了胸腺病理与腹泻之间的病因关系,并回顾了英文文献中与慢性腹泻相关的胸腺瘤病例。

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