肺恶性淋巴瘤：一例尸检病例报告及文献复习

Malignant lymphoma of the lung: report of an autopsy case and review of literature.

作者信息

Nakamura F, Sasaki H, Nakamura M, Kouchi M, Kumamoto T, Sakura E, Okamoto S, Katayama N, Kajihara H, Olimen A

机构信息

Department of Internal Medicine, Hiroshima Memorial Hospital, Japan.

出版信息

Jpn J Med. 1990 Jul-Aug;29(4):454-8. doi: 10.2169/internalmedicine1962.29.454.

DOI:10.2169/internalmedicine1962.29.454

PMID:2273632

Abstract

A 74-year-old man complained of a cough and left chest pain. Chest X-ray showed marked pleural effusion and a large mass in the left lower lobe, and air bronchograms within the mass were observed by tomography and computed tomography (CT). About 3 months later, the patient died of left atelectasis and pneumonia. Autopsy revealed a localized tumor in the lower lobe of the left lung. Histologically, proliferation of lymphoma cells was noted. Immunoglobulin staining showed B cell-type monoclonality. No metastasis was evident except for a very small nodular area in the left renal cortex.

摘要

一名74岁男性主诉咳嗽和左侧胸痛。胸部X线显示有明显胸腔积液及左肺下叶巨大肿块，通过断层扫描和计算机断层扫描（CT）观察到肿块内有空气支气管征。约3个月后，患者死于左肺不张和肺炎。尸检发现左肺下叶有一个局限性肿瘤。组织学检查显示淋巴瘤细胞增殖。免疫球蛋白染色显示为B细胞型单克隆性。除左肾皮质有一个非常小的结节区域外，未见明显转移。