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以单侧肾上腺偶发瘤为初始表现的静息性血管内淋巴瘤。

Silent intravascular lymphoma initially manifesting as a unilateral adrenal incidentaloma.

作者信息

Takahashi Yoshiko, Iida Keiji, Hino Yasuhisa, Ohara Takeshi, Kurahashi Toshifumi, Tashiro Takashi, Chihara Kazuo

机构信息

Division of General Medicine, Hyogo Prefectural Kakogawa Medical Center, 203 Kanno, Kanno-cho, Hyogo, Kakogawa 675-8555, Japan.

出版信息

Case Rep Med. 2012;2012:849285. doi: 10.1155/2012/849285. Epub 2012 Aug 13.

DOI:10.1155/2012/849285
PMID:22927863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3425017/
Abstract

Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of malignant lymphoma. Although the involvement of adrenal glands in IVLBCL is often observed, primary adrenal IVLBCL is rare. Most reported cases of adrenal IVLBCL showed bilateral lesions resulting in rapidly progressive adrenal failure and poor prognosis. Here, we report a case of slowly progressive primary adrenal IVLBCL manifesting initially with unilateral adrenal incidentaloma. This case is a silent IVLBCL and shows that the enlargement of both adrenal glands can be followed.

摘要

血管内大B细胞淋巴瘤(IVLBCL)是恶性淋巴瘤的一种罕见亚型。虽然IVLBCL常累及肾上腺,但原发性肾上腺IVLBCL却很罕见。大多数报道的肾上腺IVLBCL病例显示为双侧病变,导致快速进展的肾上腺功能衰竭和预后不良。在此,我们报告一例缓慢进展的原发性肾上腺IVLBCL,最初表现为单侧肾上腺偶发瘤。该病例是一例无症状的IVLBCL,表明双侧肾上腺肿大是可以追踪观察的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/0a6e16e0570c/CRIM2012-849285.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/be44b3c96e03/CRIM2012-849285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/2cce91768fed/CRIM2012-849285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/644605eaf50d/CRIM2012-849285.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/0a6e16e0570c/CRIM2012-849285.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/be44b3c96e03/CRIM2012-849285.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/2cce91768fed/CRIM2012-849285.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/644605eaf50d/CRIM2012-849285.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ebf/3425017/0a6e16e0570c/CRIM2012-849285.004.jpg

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J Clin Oncol. 2008 Nov 1;26(31):5134-6; author reply 5136-7. doi: 10.1200/JCO.2008.19.1841. Epub 2008 Oct 6.
2
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J Clin Oncol. 2008 Jul 1;26(19):3189-95. doi: 10.1200/JCO.2007.15.4278. Epub 2008 May 27.
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J Med Case Rep. 2016 Sep 15;10(1):254. doi: 10.1186/s13256-016-0993-5.
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Eur J Haematol. 2008 Mar;80(3):236-44. doi: 10.1111/j.1600-0609.2007.01008.x. Epub 2007 Dec 7.
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