West K P, Morgan D R, Lauder I
Department of Pathology, University of Leicester, UK.
Postgrad Med J. 1989 Feb;65(760):108-11. doi: 10.1136/pgmj.65.760.108.
Two cases of angiofollicular lymph node hyperplasia are described, one of the solitary plasma cell type the other of the multicentric hyaline vascular type. Both cases illustrate the wide ranging clinical and pathological findings associated with this condition but both also have unusual features. The solitary plasma cell lesion had an exceptional 32 year clinical history and was associated with systemic amyloidosis of AL type. The multicentric hyaline vascular case was associated with coexistent multiple myeloma and amyloid deposition also of AL type. These cases are presented with a review of the relevant literature.
本文描述了两例血管滤泡性淋巴结增生病例,一例为孤立性浆细胞型,另一例为多中心性透明血管型。两例均显示了与该疾病相关的广泛临床和病理表现,但也都具有不寻常的特征。孤立性浆细胞病变有长达32年的特殊临床病史,并与AL型系统性淀粉样变性相关。多中心性透明血管型病例与并存的多发性骨髓瘤以及同样为AL型的淀粉样沉积相关。本文在介绍这些病例的同时还对相关文献进行了综述。