Patel Priya Umesh, Sastry Padmini, Jawad Muhammad
Dematology Department, East Surrey Hospital, Redhill, UK.
Acute Medical Unit (AMU), East Surrey Hospital, Redhill, UK.
BMJ Case Rep. 2017 Jan 11;2017:bcr2016217523. doi: 10.1136/bcr-2016-217523.
Isolated splenomegaly is an unusual condition encompassing a broad range of diagnoses. We report a case of a 38-year-old Asian man who presented with insidious abdominal discomfort and night sweats following recent travel to India. Massive splenomegaly was the only prominent feature on clinical examination and on subsequent imaging. Extensive investigations were performed, ultimately resulting in transfer to a tertiary centre for definitive diagnosis via a splenic biopsy. A fine-needle aspiration was performed, and revealed diffuse large B-cell lymphoma (DLBCL). Consequently, he was successfully treated with a course of chemotherapy.
孤立性脾肿大是一种不常见的病症，涵盖多种诊断。我们报告一例38岁亚洲男性病例，该患者近期前往印度旅行后出现隐匿性腹部不适和盗汗。临床检查及后续影像学检查显示，巨大脾肿大是唯一显著特征。进行了广泛检查，最终转至三级医疗中心通过脾活检进行明确诊断。进行了细针穿刺抽吸，结果显示为弥漫性大B细胞淋巴瘤（DLBCL）。因此，他接受了一个疗程的化疗并成功治愈。
