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一例大细胞非霍奇金淋巴瘤患者的无白血病性白细胞淤滞:伴有独特中枢神经系统受累的病例报告

Aleukaemic leukostasis in a case of large cell non-Hodgkin's lymphoma: report of a case with a distinctive central nervous system involvement.

作者信息

Jain S, Kotasek D, Blumbergs P C, Sage R E

出版信息

J Neurol Neurosurg Psychiatry. 1986 Sep;49(9):1079-83. doi: 10.1136/jnnp.49.9.1079.

DOI:10.1136/jnnp.49.9.1079
PMID:3760899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1029019/
Abstract

A 52-year-old man with large cell non-Hodgkin's lymphoma developed a unique pattern of central nervous system involvement by lymphoma while in apparent systemic remission. Despite intermittent neurological episodes suggestive of CNS involvement by lymphoma no evidence of CNS lymphoma was found on repeated cerebrospinal fluid and brain CT scan examinations. At necropsy widespread occlusion of cerebral blood vessels by malignant lymphoid cells was observed with extensive tissue necrosis and haemorrhages. Leukaemic involvement of peripheral blood was not detected on repeated blood film examinations during life.

摘要

一名52岁的大细胞非霍奇金淋巴瘤患者在明显的全身缓解期出现了淋巴瘤累及中枢神经系统的独特模式。尽管间歇性神经发作提示淋巴瘤累及中枢神经系统,但多次脑脊液和脑部CT扫描检查均未发现中枢神经系统淋巴瘤的证据。尸检时观察到恶性淋巴细胞广泛阻塞脑血管,伴有广泛的组织坏死和出血。生前多次血液涂片检查均未检测到外周血白血病浸润。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/408033d550bb/jnnpsyc00101-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/189e7555f4d7/jnnpsyc00101-0102-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/bfaf4b95a671/jnnpsyc00101-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/408033d550bb/jnnpsyc00101-0103-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/189e7555f4d7/jnnpsyc00101-0102-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/bfaf4b95a671/jnnpsyc00101-0103-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de5c/1029019/408033d550bb/jnnpsyc00101-0103-b.jpg

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