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髂骨原发性淋巴瘤的一种不寻常表现。

An unusual presentation of primary lymphoma of the ilium.

作者信息

Gouse Mohamad, Jayasankar Viswanath, Alexander Manika

机构信息

Department of Orthopaedics, Unit 1, Christian Medical College, Vellore, India.

Department of Pathology, Christian Medical College, Vellore, India.

出版信息

Case Rep Med. 2014;2014:509837. doi: 10.1155/2014/509837. Epub 2014 Sep 8.

DOI:10.1155/2014/509837
PMID:25276142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4170923/
Abstract

Primary bone lymphoma involving the pelvic bone is a rare entity. It does not have distinct clinical features or radiological features that are diagnostic. Biopsy is the gold standard investigation. We present a case of primary pelvic lymphoma with initial histopathological features of chronic osteomyelitis. Upon further clinical follow-up, repeat biopsy of the lesion revealed features of B-cell Non-Hodgkin's lymphoma, thus emphasizing the need for a high index of suspicion and close clinical follow-up. This case is presented for the diagnostic dilemma and the unique feature of lymphomatous lesion mimicking chronic osteomyelitis in its early stages.

摘要

累及骨盆骨的原发性骨淋巴瘤是一种罕见的疾病。它没有可用于诊断的独特临床特征或放射学特征。活检是诊断的金标准。我们报告一例原发性骨盆淋巴瘤病例，其最初的组织病理学特征为慢性骨髓炎。经过进一步的临床随访，对病变进行重复活检显示为B细胞非霍奇金淋巴瘤特征，从而强调了高度怀疑和密切临床随访的必要性。本文报告此病例是因其诊断困境以及淋巴瘤病变在早期酷似慢性骨髓炎的独特特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/88631b50a438/CRIM2014-509837.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/887368c2c4ed/CRIM2014-509837.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/446a887064f9/CRIM2014-509837.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/ee739bccc316/CRIM2014-509837.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/90041e6c6437/CRIM2014-509837.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/88631b50a438/CRIM2014-509837.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/887368c2c4ed/CRIM2014-509837.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/446a887064f9/CRIM2014-509837.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/ee739bccc316/CRIM2014-509837.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/90041e6c6437/CRIM2014-509837.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02d7/4170923/88631b50a438/CRIM2014-509837.005.jpg

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引用本文的文献

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Sclerotic changes on plain X-ray led to early diagnosis and successful treatment of primary lymphoma of iliac bone.X线平片上的硬化改变有助于早期诊断并成功治疗髂骨原发性淋巴瘤。
J Res Med Sci. 2015 Jun;20(6):625-6. doi: 10.4103/1735-1995.165974.

本文引用的文献

1
Primary lymphoma of iliac bone.髂骨原发性淋巴瘤
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2
Primary bone lymphomas thought to be osteomyelitis urgently demand a rapid diagnosis in bone pathology.原发性骨淋巴瘤被误诊为骨髓炎时，在骨病理学中需要快速诊断。
Anticancer Res. 2012 Nov;32(11):4905-12.
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Hodgkin's disease; clinical diagnosis.霍奇金病；临床诊断
N Engl J Med. 1946 Jan 10;234:37-41. doi: 10.1056/nejm194601102340201.
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Core needle biopsies of musculoskeletal tumors: potential pitfalls.肌肉骨骼肿瘤的粗针活检：潜在陷阱
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Bone and soft-tissue lesions: what factors affect diagnostic yield of image-guided core-needle biopsy?骨与软组织病变：哪些因素会影响影像引导下粗针穿刺活检的诊断率？
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Primary bone lymphoma: treatment results and prognostic factors with long-term follow-up of 82 patients.原发性骨淋巴瘤：82例患者长期随访的治疗结果及预后因素
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Primary lymphomas of bone.骨原发性淋巴瘤
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Non-Hodgkin lymphoma.非霍奇金淋巴瘤
Lancet. 2003 Jul 12;362(9378):139-46. doi: 10.1016/S0140-6736(03)13868-8.