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原发性皮肤结外自然杀伤/T细胞淋巴瘤(鼻型)酷似左臂蜂窝织炎的临床放射学表现

Clinico-radiologic findings in primary cutaneous extranodal natural killer/t-cell lymphoma, nasal type mimicking cellulitis of the left arm.

作者信息

Kim Soo Hyun, Seon Hyun Ju, Choi Yoo Duk, Yun Sook Jung

机构信息

Department of Radiology, Chonnam National University Medical School, Gwangju, South Korea.

Department of Dermatology, Chonnam National University Medical School, Gwangju, South Korea.

出版信息

Iran J Radiol. 2015 Jan 18;12(1):e12597. doi: 10.5812/iranjradiol.12597. eCollection 2015 Jan.

Abstract

Extranodal natural killer (NK)/T-cell lymphoma is a very rare and aggressive disease characterized histopathologically by an Epstein-Barr virus (EBV)-positive atypical lymphoid cytotoxic infiltrate, extensive vascular destruction, and prominent tissue necrosis. It commonly shows cutaneous lesions that primarily or secondarily mimic cellulitis at the primary site. We report on a very rare case of extranodal NK/T-cell lymphoma, nasal type of skin/soft tissue, in a 64-year-old man, and describe the radiological findings. The condition was misdiagnosed as cellulitis of the left arm based on initial noninvasive clinical and radiologic work-up.

摘要

结外自然杀伤(NK)/T细胞淋巴瘤是一种非常罕见且侵袭性很强的疾病,其组织病理学特征为EB病毒(EBV)阳性的非典型淋巴样细胞毒性浸润、广泛的血管破坏和显著的组织坏死。它通常表现为皮肤病变,在原发部位主要或继发地类似蜂窝织炎。我们报告一例64岁男性极为罕见的结外NK/T细胞淋巴瘤,鼻型皮肤/软组织型,并描述其影像学表现。基于最初的非侵入性临床和影像学检查,该病例被误诊为左臂蜂窝织炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e704/4349107/3a5376c63f11/iranjradiol-12-01-12597-g001.jpg

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