表现为急性阑尾炎的阑尾原发性淋巴瘤：一例报告
Primary lymphoma of appendix presenting as acute appendicitis: A case report.
作者信息
Caristo Giuseppe, Griseri Guido, Fornaro Rosario, Langone Antonio, Franceschi Angelo, Errigo Veronica, Ferrari Cecilia, Casaccia Marco, Frascio Marco, Schirru Angelo
机构信息
San Paolo Hospital, Via Genova 30, Savona, 17100, Italy.
University of study of Genoa (Italy), Policlinico San Martino Largo Benzi 10, 16132 Genova, Italy.
出版信息
Int J Surg Case Rep. 2018;48:30-33. doi: 10.1016/j.ijscr.2018.04.031. Epub 2018 May 7.
INTRODUCTION
Primary lymphomas of appendix are extremely rare tumors. The incidence is 0.015% of all gastrointestinal lymphomas.
PRESENTATION OF CASE
We present a case of a 75 year-old male patient who presented with acute abdominal pain in the lower right quadrant and fever.
DISCUSSION
The patient received laparotomic appendectomy. The definitive histopathological examination revealed the presence of diffuse large cell B-lymphoma of the appendix. The neoplasms of appendix usually manifest clinically with sign and symptoms of acute appendicitis from luminal obstruction (30-50%). Preoperative diagnosis is difficult and often occurs through histopathological examination.
CONCLUSION
Primary appendiceal lymphoma is rare and there are no clear guidelines for therapy. Primary surgical resection followed by post-operative chemotherapy showed high efficacy. The histopathological examination of all appendectomy is essential.
引言
阑尾原发性淋巴瘤是极其罕见的肿瘤。其发病率占所有胃肠道淋巴瘤的0.015%。
病例介绍
我们报告一例75岁男性患者，该患者表现为右下腹急性腹痛和发热。
讨论
患者接受了剖腹阑尾切除术。最终的组织病理学检查显示阑尾存在弥漫性大细胞B淋巴瘤。阑尾肿瘤通常临床上表现为因管腔阻塞导致的急性阑尾炎体征和症状（30%-50%）。术前诊断困难，通常通过组织病理学检查确诊。
结论
原发性阑尾淋巴瘤罕见，且没有明确的治疗指南。原发性手术切除后进行术后化疗显示出高效性。所有阑尾切除术的组织病理学检查至关重要。
Zotero 插件