Binici Dogan Nasi R, Karaman Ali, Timur Ozge, Tasar Pi Nar Tosun, Sanibas Ahmet Veli
Department of Internal Medicine, Erzurum Regional Training and Research Hospital, Erzurum 25040, Turkey.
Department of Medical Genetics, Zeynep Kamil Women's and Children's Diseases Education and Research Hospital, Istanbul 34668, Turkey.
Mol Clin Oncol. 2018 Jan;8(1):80-82. doi: 10.3892/mco.2017.1483. Epub 2017 Nov 3.
Primary lymphomas of the bone or skeletal muscle are rare. Three mechanisms of lymphomatous involvement of the muscle have been described, namely direct invasion from adjacent involved lymph nodes or bone, metastatic spread and, least commonly, primary muscle lymphoma. We herein present a rare case of primary mucle non-Hodgkin lymphoma with a description if the associated clinicopathological findings and a review of the relevant literature. A 41-year-old female patient was referred to our hospital with a painful mass in the right lower extremity. Following resection and histopathological examination, a diffuse large B-cell lymphoma originating from the muscle with cutaneous and subcutanenous infiltration was diagnosed. The patient received chemotherapy with six cycles of cyclophosphamide, hydroxydaunomycin, oncovin and prednisone (CHOP regimen) and a complete radiological response was achieved after six cycles of treatment.
骨或骨骼肌的原发性淋巴瘤较为罕见。已描述了淋巴瘤累及肌肉的三种机制,即来自相邻受累淋巴结或骨的直接侵犯、转移扩散,以及最不常见的原发性肌肉淋巴瘤。我们在此报告一例罕见的原发性肌肉非霍奇金淋巴瘤病例,描述其相关临床病理表现并复习相关文献。一名41岁女性患者因右下肢疼痛性肿块被转诊至我院。经切除及组织病理学检查,诊断为起源于肌肉并伴有皮肤和皮下浸润的弥漫性大B细胞淋巴瘤。该患者接受了六个周期的环磷酰胺、羟基柔红霉素、长春新碱和泼尼松(CHOP方案)化疗,六个周期治疗后获得了完全的影像学缓解。