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脾脏炎性假瘤样滤泡树突状细胞肉瘤的影像学表现:一例报告并文献复习

Imaging findings of inflammatory pseudotumor-like follicular dendritic cell sarcoma of the spleen: A case report and literature review.

作者信息

Zhang Jiaren, He Lian, Ma Xuejin, Wang Ji, Qiu Yi, Jiang Lin

机构信息

Department of Radiology, The First People's Hospital of Zunyi, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.

Department of Radiology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.

出版信息

Oncol Lett. 2022 Sep 22;24(5):399. doi: 10.3892/ol.2022.13519. eCollection 2022 Nov.

Abstract

Inflammatory pseudotumor-like follicular dendritic cell sarcoma (IPT-like FDCS) is a low-grade malignant tumor type caused by the proliferation of follicular dendritic cells. It is a distinct subtype of FDCS that is rarely encountered in the clinic and is overwhelmingly associated with Epstein-Barr virus infection. As it is a sporadic disease with a low specificity of clinical and imaging manifestations, it is less frequently considered a diagnosis, resulting in a low preoperative diagnostic rate and easy misdiagnosis. The present study reported the ultrasound, CT and MRI features of a patient with splenic IPT-like FDCS and discussed this rare subtype of FDCS based on a review of previously published literature to provide radiologists with a broader understanding of the differential diagnosis of splenic lesions.

摘要

炎性假瘤样滤泡树突状细胞肉瘤(IPT样FDCS)是一种由滤泡树突状细胞增殖引起的低级别恶性肿瘤类型。它是FDCS的一种独特亚型,在临床上很少见,且绝大多数与EB病毒感染相关。由于它是一种散发性疾病,临床和影像学表现特异性低,因此较少被考虑作为诊断,导致术前诊断率低且容易误诊。本研究报告了一例脾脏IPT样FDCS患者的超声、CT和MRI特征,并在回顾既往发表文献的基础上对这种罕见的FDCS亚型进行了讨论,旨在为放射科医生提供对脾脏病变鉴别诊断更广泛的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6ab/9533655/e79f97df80a3/ol-24-05-13519-g00.jpg

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