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[恶性淋巴瘤的特异性皮疹研究。II. 临床和病理要点、电子显微镜研究、免疫状态及治疗]

[The study on the specific eruptions of malignant lymphoma. II. Clinical and pathological interesting points, electron microscopic study, immune state and treatment].

作者信息

Iijima S

机构信息

Department of Dermatology, University of Tsukuba.

出版信息

Nihon Hifuka Gakkai Zasshi. 1990 Jun;100(7):779-92.

PMID:2214243
Abstract

We investigated 31 cases of cutaneous malignant lymphoma diagnosed by skin biopsy during about 11 years at the University of Tsukuba hospital. The interesting points are the followings; the difference of cell morphology between the primary lesion and the secondary skin lesion was found in one case diagnosed of Lennert's lymphoma. The erythrophagocytosis of tumor cells was found at the relapse of one case of TCL. Eosinophils were increased in number in accordance with the severity in a case of MF. The electron microscopic study revealed the LC approaching to the tumor cells in ATL and MF, and TRS in ATL. Group A maintained better immunity of PPD and DNCB skin test than Group B. Non-specific eruptions in Group A were found frequently at the late stage, about half of which were cutaneous/mucous fungous infection. In the treatment of Group A, soft X-ray therapy was an excellent method at the point of the responsiveness, the painlessness, the interval of relapse and side effects.

摘要

我们对筑波大学医院约11年间经皮肤活检确诊的31例皮肤恶性淋巴瘤病例进行了调查。有趣的要点如下:在1例诊断为 Lennert 淋巴瘤的病例中,发现原发皮损与继发皮肤损害的细胞形态存在差异。在1例TCL复发时发现肿瘤细胞的噬红细胞现象。在1例MF病例中,嗜酸性粒细胞数量随病情严重程度增加。电子显微镜研究显示,在ATL和MF中LC接近肿瘤细胞,在ATL中还有TRS。A组PPD和DNCB皮肤试验的免疫功能维持得比B组好。A组非特异性皮疹在晚期频繁出现,其中约一半为皮肤/黏膜真菌感染。在A组的治疗中,软X线治疗在反应性、无痛性、复发间隔和副作用方面是一种很好的方法。

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