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一例霍奇金淋巴瘤伴化疗所致额颞叶变性(FTLD)样痴呆

A case with Hodgkin lymphoma and fronto-temporal lobular degeneration (FTLD)-like dementia facilitated by chemotherapy.

机构信息

Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan.

出版信息

Jpn J Clin Oncol. 2010 Apr;40(4):365-8. doi: 10.1093/jjco/hyp170. Epub 2009 Dec 20.

Abstract

We report a case of a 39-year-old man with Hodgkin lymphoma who developed depressive symptoms after starting adriamycin, bleomycin, vinblastine and dacarbazine chemotherapy and later exhibited sexual disinhibition in addition to cognitive dysfunction (mainly executive dysfunction). Seven months after the start of adriamycin, bleomycin, vinblastine and dacarbazine chemotherapy, he was finally diagnosed as having fronto-temporal lobular degeneration-like dementia facilitated by adriamycin, bleomycin, vinblastine and dacarbazine chemotherapy. At the time of writing, the patient's condition has persisted for more than 6 months after the discontinuation of adriamycin, bleomycin, vinblastine and dacarbazine chemotherapy, and the changes in brain function brought on by the adriamycin, bleomycin, vinblastine and dacarbazine chemotherapy may now be irreversible. This case points to the importance of being attentive to the appearance of neuropsychiatric symptoms and evaluating brain functions properly when performing anti-cancer chemotherapy.

摘要

我们报告了一例 39 岁男性霍奇金淋巴瘤患者,他在开始阿霉素、博来霉素、长春碱和达卡巴嗪化疗后出现抑郁症状,后来除了认知功能障碍(主要是执行功能障碍)外,还表现出性抑制。在开始阿霉素、博来霉素、长春碱和达卡巴嗪化疗 7 个月后,他最终被诊断为阿霉素、博来霉素、长春碱和达卡巴嗪化疗促进的额颞叶皮质变性样痴呆。在撰写本文时,患者在停止阿霉素、博来霉素、长春碱和达卡巴嗪化疗后病情持续了 6 个月以上,阿霉素、博来霉素、长春碱和达卡巴嗪化疗带来的大脑功能变化现在可能已经不可逆转。本病例提示在进行抗癌化疗时,注意神经精神症状的出现并适当评估大脑功能的重要性。

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