Nishiyama Raisuke, Baba Satoshi, Watahiki Yoichi, Maruo Hirotoshi
Shizuoka Municipal Shimizu Hospital, Shizuoka, Shizuoka, Japan.
Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
BMJ Case Rep. 2015 Mar 12;2015:bcr2014206373. doi: 10.1136/bcr-2014-206373.
We describe an unusual case of a 73-year-old woman presenting with a solitary splenic mass 8 cm in diameter and an elevation of serum soluble interleukin-2 receptor level. The preoperative diagnosis was primary malignant lymphoma of the spleen. Splenectomy was conducted. Histological analysis confirmed an inflammatory pseudotumour-like follicular dendritic cell tumour that showed different clinicopathological features from those of the classic follicular dendritic cell tumour. Only 33 cases of inflammatory pseudotumour-like follicular dendritic cell tumour have so far been reported. We discuss the incidence, presentation and management of this rare disease.
我们描述了一例罕见病例,一名73岁女性,表现为直径8厘米的脾脏孤立性肿块,血清可溶性白细胞介素-2受体水平升高。术前诊断为脾脏原发性恶性淋巴瘤。进行了脾切除术。组织学分析证实为炎症性假瘤样滤泡树突状细胞瘤,其临床病理特征与经典滤泡树突状细胞瘤不同。迄今为止,仅报道了33例炎症性假瘤样滤泡树突状细胞瘤。我们讨论了这种罕见疾病的发病率、表现及治疗。