Sachdev Ritesh, Duggal Rajan, Agrawal Krati, Goel Shalini
Medanta-The Medicity Hospital, Gurgaon, India
Medanta-The Medicity Hospital, Gurgaon, India.
Int J Surg Pathol. 2016 Feb;24(1):70-2. doi: 10.1177/1066896915604458. Epub 2015 Sep 2.
Extrapulmonary tuberculosis coexistent with lymphomas in the same organ are rare and have been reported in the literature. The most common organs that are involved are small bowel, bronchus, kidney, and lymph nodes. Interestingly, the lymphoma that is commonly present with extrapulmonary tuberculosis is Hodgkin's lymphoma followed by low-grade non-Hodgkin's lymphoma. In the present study, we report a 60-year-old man with complaints of fever, loss of appetite, and generalized weakness. On investigation, generalized lymphadenopathy was noted, and the biopsy of cervical lymph node revealed coexistence of diffuse large B-cell lymphoma with extrapulmonary tuberculosis. This case is the second reported case of diffuse large B-cell lymphoma with extrapulmonary tuberculosis in the world and the first in India.
肺外结核与同一器官的淋巴瘤并存的情况较为罕见，文献中已有相关报道。最常受累的器官是小肠、支气管、肾脏和淋巴结。有趣的是，通常与肺外结核并存的淋巴瘤是霍奇金淋巴瘤，其次是低度非霍奇金淋巴瘤。在本研究中，我们报告了一名60岁男性，主诉发热、食欲不振和全身乏力。经检查，发现全身淋巴结肿大，颈部淋巴结活检显示弥漫性大B细胞淋巴瘤与肺外结核并存。该病例是世界上第二例报告的弥漫性大B细胞淋巴瘤合并肺外结核的病例，也是印度首例。
