Gi H, Nagao S, Yoshizumi H, Nishioka T, Uno J, Shingu T, Fujita Y
Department of Neurosurgery, Kurashiki Central Hospital, Japan.
J Neurosurg. 1990 Oct;73(4):628-9. doi: 10.3171/jns.1990.73.4.0628.
The case of a 14-year-old boy presenting with hypergammaglobulinemia (immunoglobulin (Ig)G and IgA) and a cerebellopontine angle tumor is reported. The tumor was histologically confirmed as meningioma infiltrated with plasma cells, lymphocytes, and histiocytes. Immunohistochemical studies showed that the infiltrating plasma cells were stained by antibodies to IgG and IgA. After total tumor removal, the hypergammaglobulinemia immediately resolved. A plausible interpretation of this sequence of events is that the inflammatory cell reaction to the meningioma caused the immunological response followed by an unusual hypergammaglobulinemia.
报告了一例14岁男孩出现高球蛋白血症(免疫球蛋白(Ig)G和IgA)并伴有桥小脑角肿瘤的病例。肿瘤经组织学确诊为浸润有浆细胞、淋巴细胞和组织细胞的脑膜瘤。免疫组织化学研究显示,浸润的浆细胞被抗IgG和IgA抗体染色。肿瘤全切后,高球蛋白血症立即消退。对这一系列事件的一种合理的解释是,对脑膜瘤的炎症细胞反应引起了免疫反应,随后出现了异常的高球蛋白血症。