Schwalke M A, Rodil J V, Vezeridis M P
Department of Surgery, Brown University, Providence, RI.
Eur J Surg Oncol. 1990 Feb;16(1):70-3.
A case of lymphoma arising primarily from the biceps muscle is reported. While this is an exceedingly rare event, lymphoma may also invade or metastasize to muscle, and should be considered in the differential diagnosis of tumours arising from skeletal muscle. Proper evaluation of a muscle mass includes biopsy with electron microscopy and immunohistochemical studies if the cell type of the tumour is uncertain. Treatment of a muscle mass based on the histologic diagnosis of undifferentiated neoplasm is unacceptable since it may lead to unnecessary radical surgery, while curative nonsurgical therapy is available.
报告了一例原发性起源于肱二头肌的淋巴瘤病例。虽然这是极为罕见的情况，但淋巴瘤也可能侵犯或转移至肌肉，在鉴别诊断起源于骨骼肌的肿瘤时应予以考虑。对肌肉肿块进行恰当评估包括活检，若肿瘤细胞类型不确定则需进行电子显微镜检查和免疫组化研究。基于未分化肿瘤的组织学诊断对肌肉肿块进行治疗是不可接受的，因为这可能导致不必要的根治性手术，而目前已有治愈性的非手术治疗方法。
