Tapia Oscar E, Jiménez Paula P
Departamento de Anatomía Patológica, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Rev Med Chil. 2012 Feb;140(2):225-30. doi: 10.4067/S0034-98872012000200012.
Intravascular large B cell lymphoma is a rare subtype of large cell lymphoma that is characterized by the proliferation of lymphoid cells within the lumina of small blood vessels. We report a 61-year-old male presenting paresis of both lower limbs, confusion and a history of weight loss. Magnetic resonance and CAT imaging studies showed multiple images of brain and cerebellar infarctions. Twenty days after admission, the patient died and the postmortem study demonstrated a multisystem intravascular large B cell lymphoma.
血管内大B细胞淋巴瘤是大细胞淋巴瘤的一种罕见亚型,其特征是小血管腔内淋巴样细胞增殖。我们报告一例61岁男性,表现为双下肢轻瘫、意识模糊及体重减轻史。磁共振成像和计算机断层扫描显示脑和小脑梗死的多处影像。入院20天后,患者死亡,尸检显示为多系统血管内大B细胞淋巴瘤。