Angelucci D, Artese L, De Lutiis M, Rosini S, Pizzicannella G
Pathologica. 1989 Jan-Feb;81(1071):83-9.
Primary lymph node infarction and malignant non Hodgkin lymphoma. Case report. We describe a case of spontaneous primary lymph node infarction in a patient who had diagnoseable malignant lymphoma on rebiopsy after a period of 35 days. The first node biopsy showed nearly complete homogeneous necrosis with loss of normal architecture and peripheral rim of organizing granulation tissue. A stain for reticulum, however, showed preservation of the nodal reticulum framework. The follow-up biopsy on the same cervical area, approximately one month later, surprisingly showed a large cell lymphoma. Comparison of reticulum stains of this neoplastic node with earlier stains should dispel any doubts that the first lymph node studied was a true case of non-neoplastic infarction. A review of the literature on lymph node infarction is reported.
原发性淋巴结梗死与恶性非霍奇金淋巴瘤。病例报告。我们描述了一例原发性淋巴结自发性梗死病例，该患者在35天后再次活检时被诊断为恶性淋巴瘤。首次淋巴结活检显示几乎完全均匀性坏死，正常结构消失，周边有组织化肉芽组织边缘。然而，网状纤维染色显示淋巴结网状纤维框架保存。大约一个月后，在同一颈部区域进行的随访活检令人惊讶地显示为大细胞淋巴瘤。将该肿瘤性淋巴结的网状纤维染色与早期染色进行比较，应可消除对首个研究的淋巴结是否为非肿瘤性梗死真实病例的任何疑问。本文报道了对淋巴结梗死相关文献的回顾。
