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[一名HIV阳性患者发生的伴有心脏受累的弥漫性B细胞淋巴瘤]

[Disseminated B-cell lymphoma with cardial involvement in an HIV positive patient].

作者信息

Ullerup-Aagaard Henriette, Müllertz Katrine Mikala

机构信息

Hjertemedicinsk Afdeling B, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C, Denmark.

出版信息

Ugeskr Laeger. 2012 May 14;174(20):1382-3.

Abstract

A 44 year-old Somali woman was admitted with chest pain, shortness of breath and weight loss. A transthoracic echocardiography showed extensive intracardiac tumour masses. A transvenous biopsy was performed yielding the diagnosis diffuse large B-cell lymphoma. Thoracic and abdominal computed tomography showed dissemination to several organs. The patient was tested HIV positive and initiated on chemotherapy and antiretroviral therapy. After five months no tumour masses could be visualised by a repeated echocardiographic examination. Unfortunately, the patient died a few months later from cerebral metastasis.

摘要

一名44岁的索马里女性因胸痛、呼吸急促和体重减轻入院。经胸超声心动图显示心脏内有广泛的肿瘤肿块。进行了经静脉活检,诊断为弥漫性大B细胞淋巴瘤。胸部和腹部计算机断层扫描显示肿瘤已扩散至多个器官。该患者艾滋病毒检测呈阳性,开始接受化疗和抗逆转录病毒治疗。五个月后,重复的超声心动图检查未发现肿瘤肿块。不幸的是,患者几个月后死于脑转移。

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