Schurman Alexander M, Mendoza David, Rokkas Chris K
Division of Cardiothoracic Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.
Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Aorta (Stamford). 2020 Apr;8(2):38-40. doi: 10.1055/s-0040-1701529. Epub 2020 Jul 31.
Small lymphocytic lymphoma (SLL) is rarely associated with thoracic aortic aneurysms. Aneurysm of the ascending aorta associated with SLL has never been reported before. We describe the case of an asymptomatic 68-year-old woman who presented with a 5.5-cm aneurysm of the ascending aorta and no prior history of hematological disorders. Following excision and repair, the surgical specimen showed infiltration of the aortic wall by lymphocytes, expressing markers consistent with SLL. While symptomatic SLL carries a poor prognosis, risk stratification tools are applied to guide management strategies in asymptomatic patients.
小淋巴细胞淋巴瘤（SLL）很少与胸主动脉瘤相关。此前从未有过与SLL相关的升主动脉瘤的报道。我们描述了一例68岁无症状女性的病例，该患者出现了一个5.5厘米的升主动脉瘤，且既往无血液系统疾病史。切除并修复后，手术标本显示主动脉壁有淋巴细胞浸润，表达的标志物与SLL一致。虽然有症状的SLL预后较差，但风险分层工具可用于指导无症状患者的管理策略。
