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一名儿童原发性骨伯基特淋巴瘤伴淋巴结和心脏内转移。

Primary osseous Burkitt lymphoma with nodal and intracardiac metastases in a child.

作者信息

Cadavid Lina, Sastoque Jorge M, Gutiérrez Carolina, Yabur Mirna, Molina Gustavo

机构信息

Departments of Pediatric Radiology, Pediatric Cardiology and Oncological Orthopedics, Hospital Pablo Tobón Uribe, Medellín, Colombia.

Universidad CES, Medellin, Colombia.

出版信息

Radiol Case Rep. 2017 Jan 5;12(1):185-190. doi: 10.1016/j.radcr.2016.11.020. eCollection 2017 Mar.

DOI:10.1016/j.radcr.2016.11.020
PMID:28228907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5310541/
Abstract

Burkitt lymphoma (BL) is the most frequent non-Hodgkin lymphoma in pediatric patients, accounting for approximately 34% of the cases of lymphoma in children. This subtype of non-Hodgkin lymphoma was first described in 1958 as a monoclonal proliferation of B cell lymphocytes. Cardiac involvement of BL in association with osseous compromise and lymphadenopathy is rare and poorly documented. We report a case of femur primary BL in an 8-year-old boy with metastatic cardiac involvement, retroperitoneal and iliofemoral lymphadenopathy, and hepatosplenomegaly. We highlight the diagnostic challenge in a patient with clinical nonspecific findings and systemic disease.

摘要

伯基特淋巴瘤(BL)是儿科患者中最常见的非霍奇金淋巴瘤,约占儿童淋巴瘤病例的34%。这种非霍奇金淋巴瘤亚型于1958年首次被描述为B淋巴细胞的单克隆增殖。BL合并骨损害和淋巴结病的心脏受累情况罕见且文献记载较少。我们报告一例8岁男孩股骨原发性BL,伴有转移性心脏受累、腹膜后及髂股淋巴结病和肝脾肿大。我们强调了临床无特异性表现及全身性疾病患者的诊断挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/373f2e29e79e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/b430552eb43c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/36dd5eab5c8f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/f827fdc75745/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/7effc6693369/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/a3291329a75e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/9e1dd4980f7a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/373f2e29e79e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/b430552eb43c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/36dd5eab5c8f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/f827fdc75745/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/7effc6693369/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/a3291329a75e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/9e1dd4980f7a/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4df9/5310541/373f2e29e79e/gr7.jpg

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本文引用的文献

1
Cardiac non-Hodgkin's lymphoma: clinical characteristics and trends in survival.心脏非霍奇金淋巴瘤:临床特征与生存趋势
Eur J Haematol. 2016 Nov;97(5):445-452. doi: 10.1111/ejh.12751. Epub 2016 Mar 30.
2
Childhood Burkitt lymphoma: abdominal and pelvic imaging findings.儿童伯基特淋巴瘤:腹部和盆腔影像学表现
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Multimodality imaging of Hodgkin disease and non-Hodgkin lymphomas in children.儿童霍奇金病和非霍奇金淋巴瘤的多模态成像
双侧股骨原发性小儿伯基特淋巴瘤——病例报告
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Pediatric Burkitt's lymphoma: CT findings.儿童伯基特淋巴瘤:CT表现
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