Department of Hematology, Tohoku University Hospital, Japan.
Department of Hematopathology, Tohoku University Hospital, Japan.
Intern Med. 2022 Jul 1;61(13):2057-2060. doi: 10.2169/internalmedicine.8793-21. Epub 2021 Dec 11.
Peritoneal lymphomatosis (PL) is a rare presentation of malignant lymphoma cases, many of which are diagnosed as diffuse large B-cell lymphoma (DLBCL) and characterized by aggressive clinical courses. We herein report a 63-year-old woman presenting with the rapid development of abdominal distention due to bulky peritoneal tumors. The pathological evaluation of a needle biopsy sample, combined with flow cytometry, yielded the diagnosis of DLBCL. Prompt chemotherapeutic intervention resulted in favorable disease control and sustained complete remission. It is necessary to diagnose cases of DLBCL presenting as PL early to ensure prompt treatment and prevent mortality.
腹膜淋巴瘤病(PL)是恶性淋巴瘤的一种罕见表现,其中许多被诊断为弥漫性大 B 细胞淋巴瘤(DLBCL),其特征为侵袭性临床病程。我们在此报告一例 63 岁女性,因巨大腹膜肿瘤迅速出现腹胀。针吸活检样本的病理评估,结合流式细胞术,诊断为 DLBCL。及时的化疗干预导致疾病得到良好控制和持续完全缓解。早期诊断表现为 PL 的 DLBCL 病例非常必要,以确保及时治疗和预防死亡。