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霍奇金淋巴瘤相关性炎症改建——表现为类似于 Castleman 病样组织学特征及正电子发射断层扫描/计算机断层扫描在鉴别诊断中的作用。

Hodgkin Lymphoma-related Inflammatory Modification-displayed Castleman Disease-like Histological Features and Positron Emission Tomography/Computed Tomography Usefulness for the Differential Diagnosis.

机构信息

Division of Clinical Oncology and Hematology, Department of Internal Medicine, The Jikei University School of Medicine, Japan.

Department of Clinical Immunology, Hôpital Saint-Louis, Assistance Publique Hôpitaux de Paris (APHP), France.

出版信息

Intern Med. 2024 Apr 1;63(7):993-998. doi: 10.2169/internalmedicine.2284-23. Epub 2023 Aug 9.

DOI:10.2169/internalmedicine.2284-23
PMID:37558474
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11045375/
Abstract

Hodgkin lymphoma (HL) and idiopathic multicentric Castleman disease (iMCD) are markedly different conditions. However, in some cases, histological similarities caused by elevated cytokines, including interleukin-6, can lead to a misdiagnosis of HL as Castleman disease (CD). We herein report a patient with HL who had been diagnosed with CD by an expert panel and for whom an additional biopsy was useful for determining the correct diagnosis. Furthermore, we analyzed the positron emission tomography/computed tomography findings at the diagnosis and found that the maximum standardized uptake value was useful for distinguishing HL from iMCD.

摘要

霍奇金淋巴瘤（HL）和特发性多中心 Castleman 病（iMCD）是明显不同的疾病。然而，在某些情况下，升高的细胞因子（包括白细胞介素-6）引起的组织学相似性可能导致 HL 误诊为 Castleman 病（CD）。本文报告了一例 HL 患者，曾被专家组诊断为 CD，再次进行活检有助于确定正确的诊断。此外，我们分析了诊断时的正电子发射断层扫描/计算机断层扫描结果，发现最大标准化摄取值有助于区分 HL 和 iMCD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/e2a1d0a82349/1349-7235-63-0993-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/4d28f7cce640/1349-7235-63-0993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/92cd71080e41/1349-7235-63-0993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/670fed5700d3/1349-7235-63-0993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/6efa5cb121ad/1349-7235-63-0993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/e2a1d0a82349/1349-7235-63-0993-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/4d28f7cce640/1349-7235-63-0993-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/92cd71080e41/1349-7235-63-0993-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/670fed5700d3/1349-7235-63-0993-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/6efa5cb121ad/1349-7235-63-0993-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b5d/11045375/e2a1d0a82349/1349-7235-63-0993-g005.jpg

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本文引用的文献

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Revisiting IL-6 expression in the tumor microenvironment of classical Hodgkin lymphoma.重新审视经典霍奇金淋巴瘤肿瘤微环境中的 IL-6 表达。
Blood Adv. 2021 Mar 23;5(6):1671-1681. doi: 10.1182/bloodadvances.2020003664.
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Classic Hodgkin lymphoma and Castleman disease: an entity appears to be emerging.经典型霍奇金淋巴瘤和血管滤泡性淋巴结增生症：一种实体似乎正在出现。
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Blood. 2020 Apr 16;135(16):1353-1364. doi: 10.1182/blood.2019000931.
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The full spectrum of Castleman disease: 273 patients studied over 20 years.卡斯特曼病全谱：20年间研究的273例患者
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Tentative diagnostic criteria and disease severity classification for Castleman disease: A report of the research group on Castleman disease in Japan.Castleman病的暂定诊断标准和疾病严重程度分类：日本Castleman病研究组报告
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[A reference guide for management of Castleman disease].[Castleman病管理参考指南]
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Hodgkin Lymphoma and Castleman Disease: When One Blood Disease Can Hide Another.霍奇金淋巴瘤与卡斯特曼病：一种血液疾病如何掩盖另一种。
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Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification.霍奇金淋巴瘤和非霍奇金淋巴瘤初始评估、分期及反应评估的建议：卢加诺分类
J Clin Oncol. 2014 Sep 20;32(27):3059-68. doi: 10.1200/JCO.2013.54.8800.
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Coexistence of Hodgkin's Lymphoma and Castleman's Disease: A Case Report with Successful Response to Chemotherapy and Radiotherapy.霍奇金淋巴瘤与Castleman病并存：一例化疗和放疗成功的病例报告
Case Rep Oncol Med. 2013;2013:487205. doi: 10.1155/2013/487205. Epub 2013 Dec 5.
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Discordant lymphocyte-depleted classical Hodgkin's and peripheral T-cell lymphoma arising in a patient 11 years after diagnosis of multicentric Castleman's disease.弥漫性大 B 细胞淋巴瘤和外周 T 细胞淋巴瘤在 11 年前诊断为多中心 Castleman 病后出现淋巴细胞耗竭的经典霍奇金淋巴瘤。
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