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化疗后出现的良性富含组织细胞的假瘤并酷似残留病灶。

Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease.

作者信息

Singh Amrit P, Murray Glenn P, Pandey Soumya

机构信息

Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA.

出版信息

Case Rep Pathol. 2020 Jul 2;2020:4674103. doi: 10.1155/2020/4674103. eCollection 2020.

DOI:10.1155/2020/4674103
PMID:32695545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7352137/
Abstract

Histiocyte-rich pseudotumors (HRPT) developing postchemoradiation therapy are a florid response to treatment and reparative change. Although these are benign processes, clinically and radiologically, these may mimic recurrent/relapsed disease. We describe a case of an adult male with history of diffuse large B-cell lymphoma (DLBCL), status postchemoradiation therapy, who developed HRPT at the site of original involvement, mimicking relapse of disease on positron emission tomography/computed tomography (PET/CT) imaging. This is one of the few reported cases of posttreatment HRPT. This entity is important to point out the limitations of PET/CT imaging in patients with lymphomas and metastatic disease and stresses the importance of an excisional biopsy for determining relapse and the need for further treatment.

摘要

放化疗后出现的富含组织细胞的假瘤(HRPT)是对治疗的一种显著反应及修复性改变。尽管这些是良性过程,但在临床和放射学上,它们可能酷似复发/再发疾病。我们描述了一例成年男性,有弥漫性大B细胞淋巴瘤(DLBCL)病史,放化疗后,在原受累部位出现HRPT,在正电子发射断层扫描/计算机断层扫描(PET/CT)成像上酷似疾病复发。这是为数不多的报道的治疗后HRPT病例之一。指出这个实体对于明确PET/CT成像在淋巴瘤和转移性疾病患者中的局限性很重要,并强调了切除活检对于确定复发及进一步治疗需求的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/a0dd3ab75fb2/CRIPA2020-4674103.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/fa7a4d775d5e/CRIPA2020-4674103.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/ecfcf4a692ac/CRIPA2020-4674103.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/a0dd3ab75fb2/CRIPA2020-4674103.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/fa7a4d775d5e/CRIPA2020-4674103.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/ecfcf4a692ac/CRIPA2020-4674103.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46ec/7352137/a0dd3ab75fb2/CRIPA2020-4674103.003.jpg

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