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排尿困难和急性尿潴留作为原发性阴道淋巴瘤的初始表现。病例报告及文献复习

Dysuria and acute urinary retencion as initial presentation of primary vaginal lymphoma. Case report and bibliographic review.

作者信息

Capapé-Poves Victoria, Pérez-Arbej José Antonio, Palomera-Bernal Luis, Bejarano-Lasunción Pilar, García-Magariño Alonso Jesús, García-Calero David

机构信息

Servicio de Urología. Hospital Clínico Universitario Lozano Blesa. Zaragoza. España.

出版信息

Arch Esp Urol. 2014 Nov;67(9):775-9.

PMID:25407152
Abstract

OBJECTIVE

We report a case of primary vaginal lymphoma. The clinical presentation was an episode of dysuria and acute urinary retention. We performed a bibliographic review.

METHODS

Thirty-six year-old patient who consulted in the urology clinic for hesitancy that triggered an episode of acute urinary retention. Physical examination revealed thickening of the vaginal wall. Biopsy was performed and diagnosis of diffuse large B-cell primary vaginal non-Hodgkin's lymphoma was obtained.

RESULTS

Primary lymphomas of the female genital tract are rare. The third most frequent location is vagina. The most common manifestation is vaginal bleeding. Urinary symptoms are rarely the first sign. Diagnosis requires a biopsy. The first choice for treatment is Rituximab- CHOP immuno-chemotherapy.

CONCLUSIONS

Vaginal lymphoma is a rare disease. Unfrequently, the first clinical manifestations are urinary tract symptoms, and even less acute urinary retention.

摘要

目的

我们报告一例原发性阴道淋巴瘤病例。临床表现为尿痛和急性尿潴留发作。我们进行了文献综述。

方法

一名36岁患者因排尿犹豫到泌尿外科门诊就诊,引发了一次急性尿潴留发作。体格检查发现阴道壁增厚。进行了活检,诊断为弥漫性大B细胞原发性阴道非霍奇金淋巴瘤。

结果

女性生殖道原发性淋巴瘤罕见。第三常见的部位是阴道。最常见的表现是阴道出血。泌尿系统症状很少是首发症状。诊断需要活检。治疗的首选是利妥昔单抗-CHOP免疫化疗。

结论

阴道淋巴瘤是一种罕见疾病。临床上,首发症状很少为泌尿系统症状,急性尿潴留更为少见。

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