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空肠套叠:原发性甲状腺非霍奇金淋巴瘤的一种罕见表现。

Jejunal Intussusception: A Rare Manifestation of a Primary Thyroid Non-Hodgkin Lymphoma.

作者信息

Sheikh Abu Baker, Tariq Usman, Bukhari Marvi M, Shah Sana, Afzal Rao M, Sheikh Abdul Ahad E, Nadeem Nimra

机构信息

Internal Medicine, University of New Mexico, Albuquerque, USA.

Research Assistant, Yale University School of Medicine, New Haven, USA.

出版信息

Cureus. 2018 May 31;10(5):e2717. doi: 10.7759/cureus.2717.

DOI:10.7759/cureus.2717
PMID:30079283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6067809/
Abstract

Primary thyroid lymphoma (PTL) is an uncommon malignancy of the thyroid gland, with most lymphomas of the thyroid being almost exclusively of the non-Hodgkin's B cell variety. PTL requires a prompt diagnosis because of its ability to cause progressive compression symptoms, and its unusual presentation can make the diagnosis very challenging. Herein, we present a case of PTL in a young woman with an uncommon initial presentation and discuss the complications she faced during the surgery, as well as postoperatively, due to the compression of the trachea by the thyroid mass.

摘要

原发性甲状腺淋巴瘤(PTL)是一种罕见的甲状腺恶性肿瘤,甲状腺的大多数淋巴瘤几乎都是非霍奇金B细胞型。由于PTL能够引起进行性压迫症状,因此需要及时诊断,其不寻常的表现可能使诊断极具挑战性。在此,我们报告一例年轻女性原发性甲状腺淋巴瘤病例,其初始表现不常见,并讨论她在手术期间以及术后因甲状腺肿块压迫气管所面临的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/2773d047ba3c/cureus-0010-00000002717-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/daa42e50356c/cureus-0010-00000002717-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/571e1b1f0f1a/cureus-0010-00000002717-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/2773d047ba3c/cureus-0010-00000002717-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/daa42e50356c/cureus-0010-00000002717-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/571e1b1f0f1a/cureus-0010-00000002717-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d1d/6067809/2773d047ba3c/cureus-0010-00000002717-i03.jpg

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本文引用的文献

1
Small bowel intussusception induced by a jejunal gastrointestinal stromal cell tumor diagnosed by endoscopic ultrasound.经内镜超声诊断的空肠胃肠道间质细胞瘤诱发的小肠套叠
Endosc Ultrasound. 2016 Sep-Oct;5(5):346-347. doi: 10.4103/2303-9027.191683.
2
Hoarseness: an unusual presentation of primary thyroid lymphoma with laryngeal infiltration.声音嘶哑:原发性甲状腺淋巴瘤伴喉浸润的一种不寻常表现。
Braz J Otorhinolaryngol. 2016 Nov-Dec;82(6):737-740. doi: 10.1016/j.bjorl.2015.05.006. Epub 2015 Sep 7.
3
Extensive Extranodal Involvement of Rare Sites in Non Hodgkin's Lymphoma Detected on (18)F- FDG PET-CT: A Case Report.
(18)F-FDG PET-CT检测发现的非霍奇金淋巴瘤罕见部位广泛结外受累:一例报告
Nucl Med Mol Imaging. 2013 Jun;47(2):125-9. doi: 10.1007/s13139-012-0183-3. Epub 2012 Nov 9.
4
Jejunojejunal Intussusception as the Initial Presentation of Non-Hodgkin's B-Cell Lymphoma in an Adult Patient: A Case Report and Review of the Literature.空肠空肠套叠作为成年患者非霍奇金B细胞淋巴瘤的首发表现:一例病例报告及文献复习
Case Rep Surg. 2013;2013:619031. doi: 10.1155/2013/619031. Epub 2013 Jun 17.
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Unusual cause of adult intussusception: diffuse large B-cell non-Hodgkin's lymphoma: a case report and review.成人肠套叠的不常见病因:弥漫性大 B 细胞非霍奇金淋巴瘤:病例报告及文献复习。
Eur Rev Med Pharmacol Sci. 2012 Dec;16(14):1938-46.
6
Inflammatory (B) symptoms are independent predictors of myelosuppression from chemotherapy in Non-Hodgkin Lymphoma (NHL) patients--analysis of data from a British National Lymphoma Investigation phase III trial comparing CHOP to PMitCEBO.炎症(B)症状是非霍奇金淋巴瘤(NHL)患者化疗引起骨髓抑制的独立预测因素——对一项英国国家淋巴瘤调查III期试验数据的分析,该试验比较了CHOP方案与PMitCEBO方案。
BMC Cancer. 2009 May 18;9:153. doi: 10.1186/1471-2407-9-153.
7
Transient adult jejunal intussusception.成人短暂性空肠套叠
J Emerg Med. 2003 May;24(4):395-400. doi: 10.1016/s0736-4679(03)00036-2.
8
Malignant lymphoma of the thyroid gland: a clinicopathologic study of 108 cases.甲状腺恶性淋巴瘤:108例临床病理研究
Am J Surg Pathol. 2000 May;24(5):623-39. doi: 10.1097/00000478-200005000-00001.
9
Cancer risks in patients with chronic lymphocytic thyroiditis.慢性淋巴细胞性甲状腺炎患者的癌症风险。
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