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表现为息肉样的原发性胆囊淋巴瘤。

Primary gallbladder lymphoma presenting as a polyp.

作者信息

Acharya Vikas, Ngai Joyce, Whitelaw Douglas, Motallebzadeh Reza

机构信息

Department of General Surgery, Luton and Dunstable Hospital NHS Trust, Luton, UK.

出版信息

BMJ Case Rep. 2014 May 5;2014:bcr2013202715. doi: 10.1136/bcr-2013-202715.

DOI:10.1136/bcr-2013-202715
PMID:24798355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4024538/
Abstract

We present an unusual case of a 75-year-old woman, with no significant medical history, presenting with ongoing weight loss and change in bowel habit. Her physical examination and initial blood tests were all normal, and, therefore, radiographic imaging was undertaken. Ultrasound and CT of the abdomen confirmed a gallbladder polyp and a laparoscopic cholecystectomy was subsequently performed. Histological analysis confirmed primary gallbladder lymphoma. This case report is the first to present gallbladder lymphoma presenting as a polyp. The authors discuss the incidence, presentation and management of gallbladder lymphoma.

摘要

我们报告了一例罕见病例,患者为一名75岁女性,无重大病史,出现持续体重减轻和排便习惯改变。她的体格检查和初步血液检查均正常,因此进行了影像学检查。腹部超声和CT证实有胆囊息肉,随后进行了腹腔镜胆囊切除术。组织学分析证实为原发性胆囊淋巴瘤。本病例报告首次呈现了以息肉形式出现的胆囊淋巴瘤。作者讨论了胆囊淋巴瘤的发病率、表现及治疗。

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BMJ Case Rep. 2014 May 5;2014:bcr2013202715. doi: 10.1136/bcr-2013-202715.
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本文引用的文献

1
Polyp on ultrasound: now what? The association between gallbladder polyps and cancer.超声检查发现息肉:接下来该怎么办?胆囊息肉与癌症之间的关联。
Am Surg. 2013 Oct;79(10):1005-8.
2
Gallbladder polyps: factors affecting surgical decision.胆囊息肉:影响手术决策的因素。
World J Gastroenterol. 2013 Jul 28;19(28):4526-30. doi: 10.3748/wjg.v19.i28.4526.
3
Treatment and surveillance of polypoid lesions of the gallbladder in the United Kingdom.英国胆囊息肉样病变的治疗和监测。
HPB (Oxford). 2012 Jul;14(7):435-40. doi: 10.1111/j.1477-2574.2012.00471.x. Epub 2012 May 11.
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Diagnosis and management of gallbladder polyps.胆囊息肉的诊断与处理
N Am J Med Sci. 2012 May;4(5):203-11. doi: 10.4103/1947-2714.95897.
5
Gall bladder and extrahepatic bile duct lymphomas: clinicopathological observations and biological implications.胆囊和肝外胆管淋巴瘤:临床病理观察及生物学意义。
Am J Surg Pathol. 2010 Sep;34(9):1277-86. doi: 10.1097/PAS.0b013e3181e9bb8b.
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Clinicopathologic features of polypoid lesions of the gallbladder and risk factors of gallbladder cancer.胆囊息肉样病变的临床病理特征及胆囊癌的危险因素
J Korean Med Sci. 2009 Jun;24(3):481-7. doi: 10.3346/jkms.2009.24.3.481. Epub 2009 Jun 12.
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Primary malignant lymphoma of the gallbladder: a case report and literature review.原发性胆囊恶性淋巴瘤:一例报告及文献复习
Br J Radiol. 2009 Jan;82(973):e15-9. doi: 10.1259/bjr/30768802.
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Long-term follow up of gallbladder polyps.胆囊息肉的长期随访
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Primary non-Hodgkin's lymphoma of the gallbladder diagnosed by laparoscopic cholecystectomy.经腹腔镜胆囊切除术诊断的原发性胆囊非霍奇金淋巴瘤
J Hepatobiliary Pancreat Surg. 2008;15(6):659-63. doi: 10.1007/s00534-007-1283-9. Epub 2008 Nov 7.
10
Laparoscopic cholecystectomy for polypoid lesions of the gallbladder: a clinicopathologic study.腹腔镜胆囊切除术治疗胆囊息肉样病变:一项临床病理研究
Surg Laparosc Endosc Percutan Tech. 2001 Jun;11(3):176-81.