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13年后复发性滤泡性淋巴瘤的胸腔镜诊断

Thoracoscopic Diagnosis of Follicular Lymphoma Relapsing after 13 Years.

作者信息

Kanbur Serda, Derdiyok Onur, Kiral Hakan, Yilmaz Hakan, Demir Mine, Tezel Cagatay, Baysungur Volkan, Evman Serdar

机构信息

Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Training and Research Hospital, Istanbul, Turkey.

出版信息

Surg J (N Y). 2019 Feb 14;5(1):e5-e7. doi: 10.1055/s-0038-1661416. eCollection 2019 Jan.

Abstract

Relapse in lymphoproliferative malignancies is not an exceptional entity and generally occurs within the first 2 or 3 years following the primary treatment. Lymph node biopsy is essential for the diagnosis of relapse and treatment. A 64-years-old woman was referred to our clinic for back pain and dyspnea. Chest X-ray and computed tomography (CT) showed pleural thickening in the right hemithorax and pleural effusion. Hereby, we report a patient with a history of follicular lymphoma treatment 13 years ago, presenting with unilateral pleural effusion and being diagnosed, unpredictably, with relapsing lymphoma by video-assisted thoracoscopic surgery pleural biopsy.

摘要

淋巴增殖性恶性肿瘤复发并非罕见情况,通常发生在初始治疗后的头2至3年内。淋巴结活检对于复发的诊断和治疗至关重要。一名64岁女性因背痛和呼吸困难转诊至我院。胸部X线和计算机断层扫描(CT)显示右半胸胸膜增厚和胸腔积液。在此,我们报告一例患者,该患者13年前有滤泡性淋巴瘤治疗史,出现单侧胸腔积液,经电视辅助胸腔镜手术胸膜活检意外诊断为复发性淋巴瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d074/6375731/149162f5eff3/10-1055-s-0038-1661416-i1800028cr-1.jpg

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