一名HIV感染患者的肛管浆母细胞淋巴瘤
Plasmablastic lymphoma of the anal canal in an HIV-infected patient.
作者信息
Chagas Lucia Antunes, Camilo Gustavo Bittencourt, Machado Dequitier Carvalho, Vidal Débora Ribeiro, de Oliveira Celso Estevão, Toledo Gabriela Cumani, Oria Gabriel Peixoto Castro, Silva Monique de França, Oliveira Romulo Varella de, Lopes Agnaldo José
机构信息
Department of Radiology, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Postgraduate Programe in Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Am J Case Rep. 2014 Dec 6;15:543-9. doi: 10.12659/AJCR.892313.
BACKGROUND
The advent of antiretroviral therapy increased the life expectancy of human immunodeficiency virus (HIV)-positive patients and, consequently, the morbidity and mortality due to neoplasms. Plasmablastic lymphoma is one such neoplasm that generally presents with involvement of the oral cavity; cases of extra-oral involvement are rare.
CASE REPORT
We report a case of plasmablastic lymphoma in a 46-year-old woman for whom the initial clinical manifestation was a painless perineal tumor accompanied by fecal incontinence.
CONCLUSIONS
The possibility of this neoplasm should be considered in patients with HIV/acquired immune deficiency syndrome (HIV/AIDS) because its early diagnosis is essential so that the start of the treatment is not delayed.
背景
抗逆转录病毒疗法的出现提高了人类免疫缺陷病毒（HIV）阳性患者的预期寿命，因此也增加了肿瘤导致的发病率和死亡率。浆母细胞淋巴瘤就是这样一种肿瘤，通常表现为口腔受累；口外受累的病例很少见。
病例报告
我们报告一例46岁女性的浆母细胞淋巴瘤病例，其最初的临床表现是无痛性会阴肿瘤并伴有大便失禁。
结论
对于HIV/获得性免疫缺陷综合征（HIV/AIDS）患者，应考虑这种肿瘤的可能性，因为早期诊断至关重要，以免延误治疗的开始。
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