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白塞病患者的扁桃体恶性淋巴瘤。

Malignant lymphoma of the tonsil in a patient with Behçet's disease.

作者信息

Souabni Leila, Elleuch Mohamed, Amira Chiraz, Sellami Slaheddine

机构信息

Hôpital la Rabtan, Département de rhumatologie, Tunis, Tunisia.

出版信息

Joint Bone Spine. 2008 Oct;75(5):616-8. doi: 10.1016/j.jbspin.2007.09.018. Epub 2008 Sep 18.

Abstract

Several connective tissue diseases such as rheumatoid arthritis and polymyositis are associated with cancer. In contrast, cancer is rarely reported in patients with Behçet disease. We report a case of lymphoma during the course of Behçet disease. Etiopathogenic factors are discussed. A 46-year-old man with a 14-year history of Behçet disease was diagnosed with non-Hodgkin malignant lymphoma of the right tonsil. He met international criteria for Behçet disease, which manifested as refractory oral ulcers requiring dapsone treatment. He achieved a complete remission of the lymphoma after three chemotherapy courses and local radiation therapy (45 Gy). At last follow-up 4 years later, he was still in complete remission.

摘要

几种结缔组织病,如类风湿关节炎和多发性肌炎,与癌症有关。相比之下,白塞病患者很少有癌症的报道。我们报告一例白塞病病程中发生淋巴瘤的病例。并对病因进行了讨论。一名有14年白塞病病史的46岁男性被诊断为右侧扁桃体非霍奇金恶性淋巴瘤。他符合白塞病的国际诊断标准,表现为难治性口腔溃疡,需要氨苯砜治疗。经过三个疗程的化疗和局部放射治疗(45 Gy)后,他的淋巴瘤完全缓解。在4年后的最后一次随访中,他仍处于完全缓解状态。

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