Hayashi Akinori, Miyakawa Yoshitaka, Bokuda Kota, Kimura Toshinori, Nakashima Emiko, Irie Rie, Sugiura Hitoshi, Suzuki Takahiro, Ohsone Yasuo, Akizuki Satoshi
Department of Internal Medicine, Kawasaki Municipal Hospital.
Intern Med. 2009;48(16):1403-6. doi: 10.2169/internalmedicine.48.2110. Epub 2009 Aug 17.
Primary lymphoma of the bladder is quite rare; primarily, it is extranodal marginal zone B-cell lymphoma of mucosa-associated lymphoid tissue (MALT-lymphoma). There is only one case report of primary diffuse large B-cell lymphoma (DLBCL) of the bladder, accompanied by diffuse wall thickening of the bladder. Here, we report a second case of primary DLBCL of the bladder in a 75-year-old woman patient, whose initial presentation was acute renal failure. Three courses of R-CHOP chemotherapy were effective to treat acute renal failure caused by post-renal obstruction and to attain clinical remission.
膀胱原发性淋巴瘤相当罕见;主要是黏膜相关淋巴组织的结外边缘区B细胞淋巴瘤(MALT淋巴瘤)。仅有一例膀胱原发性弥漫性大B细胞淋巴瘤(DLBCL)的病例报告,伴有膀胱壁弥漫性增厚。在此,我们报告第二例膀胱原发性DLBCL,患者为一名75岁女性,最初表现为急性肾衰竭。三个疗程的R-CHOP化疗有效治疗了由肾后梗阻引起的急性肾衰竭并实现临床缓解。