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一例经计算机断层扫描引导下脾脏活检诊断的弥漫性大B细胞淋巴瘤误诊的非典型病例

A Misdiagnosed Atypical Case of Diffuse Large B Cell Lymphoma Diagnosed by Computed Tomography Guided Spleen Biopsy.

作者信息

Jiang Liejun, Wei Qiang, Peng Cheng, Li Han, Wang Endi, Zhang Xiaomei, Huang Huayi

出版信息

Clin Lab. 2021 Jan 1;67(1). doi: 10.7754/Clin.Lab.2020.200640.

DOI:10.7754/Clin.Lab.2020.200640
PMID:33491439
Abstract

BACKGROUND

Lymphoma is a malignancy of hematopoietic and lymphoid tissues. Early diagnosis of lymphoma is very important and could save patients' lives. Nevertheless, the diagnosis of lymphoma could be difficult in the presence of complex manifestations and a lack of convincing laboratory findings. Here we report a case of large B cell lymphoma misdiagnosed as hemophagocytic syndrome during the hospitalization and treatment course.

METHODS AND RESULTS

Retrospective review of patient's clinical data, differential diagnosis, and treatment were performed. Patient's disease course was followed and the final diagnosis, along with relevant discussions and summaries were documented.

CONCLUSIONS

This report may be helpful in the diagnosis of lymphoma with complex manifestations differentiated from hemophagocytic syndrome, and may facilitate early diagnosis and treatment.

摘要

背景

淋巴瘤是造血和淋巴组织的恶性肿瘤。淋巴瘤的早期诊断非常重要,能够挽救患者生命。然而,在存在复杂临床表现且缺乏确凿实验室检查结果的情况下,淋巴瘤的诊断可能会很困难。在此,我们报告一例在住院及治疗过程中被误诊为噬血细胞综合征的大B细胞淋巴瘤病例。

方法与结果

对患者的临床资料、鉴别诊断及治疗进行回顾性分析。追踪患者的病程,并记录最终诊断以及相关讨论和总结。

结论

本报告可能有助于诊断表现复杂且需与噬血细胞综合征相鉴别的淋巴瘤,促进早期诊断和治疗。

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