Alandete Salvador, Monedero Maria Dolores, Meseguer M Angeles, Delgado Fructuoso
Department of Radiology, Hospital Universitario Doctor Peset, Valencia, Spain.
BJR Case Rep. 2016 Nov 2;2(4):20150211. doi: 10.1259/bjrcr.20150211. eCollection 2016.
Plasmablastic lymphoma is a relatively new clinical entity described as a distinct subtype of diffuse large B-cell lymphoma, although in the last decade several case reports and series have been published. This case is presented because of its rarity, as this pathology is rare in immunocompetent patients and intramuscular masses are present. We report the case of a 63-year-old male with no significant clinical background. He was referred to the emergency department of our hospital with a 10-day history of pain on the left side of the chest that was described as burning and spreading to the right side. On physical examination, he had no fever or recent weight loss. The abdomen was soft and non-distended, and no peritoneal signs were present but he had three palpable masses located in the soft tissues of the breast, right gluteal region and left leg. Histological examination of the biopsy specimens disclosed the diagnosis of plasmablastic lymphoma. To our knowledge, this will be the second case report referring to intramuscular masses in the English language literature.
浆母细胞淋巴瘤是一种相对较新的临床实体，被描述为弥漫性大B细胞淋巴瘤的一种独特亚型，尽管在过去十年中已发表了几例病例报告和系列研究。该病例因其罕见性而被呈现，因为这种病理情况在免疫功能正常的患者中很少见且存在肌肉内肿块。我们报告一例63岁男性，无显著临床病史。他因左侧胸部疼痛10天被转诊至我院急诊科，疼痛描述为烧灼感并蔓延至右侧。体格检查时，他无发热或近期体重减轻。腹部柔软无膨隆，无腹膜刺激征，但在乳房、右臀区域和左腿的软组织中有三个可触及的肿块。活检标本的组织学检查确诊为浆母细胞淋巴瘤。据我们所知，这将是英文文献中第二篇提及肌肉内肿块的病例报告。
