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原发性肝淋巴瘤 1 例报告并文献复习。

Primary hepatic lymphoma a case report and literature review.

机构信息

The First College of Clinical Medical Science, China Three Gorges University, Hubei Yichang, China.

Department of Hepatobiliary Surgery, Yichang Central People's Hospital, Hubei, China.

出版信息

Medicine (Baltimore). 2023 Dec 15;102(50):e36688. doi: 10.1097/MD.0000000000036688.

Abstract

RATIONALE

Primary hepatic lymphoma is a rare extranodal non-Hodgkin lymphoma that is primarily localized in the liver. It predominantly affects elderly males and presents with nonspecific laboratory findings, imaging results, and clinical symptoms, making diagnosis challenging. Histopathological examination serves as the gold standard for diagnosis, and treatment options include chemotherapy or surgical intervention combined with chemotherapy.

PATIENT CONCERNS

A 50-year-old male patient came to our hospital for treatment after finding a mass in his liver.

DIAGNOSES

Laboratory tests and clinical symptoms lack specificity for primary hepatic lymphoma, and imaging findings can be difficult to differentiate. Pathology is the gold standard.

OUTCOMES

The patient was dead.

CONCLUSION

A definitive diagnosis primarily relies on histopathological examination, and surgical resection combined with chemotherapy yields better treatment outcomes.

摘要

背景

原发性肝淋巴瘤是一种罕见的结外非霍奇金淋巴瘤,主要局限于肝脏。它主要影响老年男性,表现为非特异性的实验室发现、影像学结果和临床症状,导致诊断具有挑战性。组织病理学检查是诊断的金标准,治疗选择包括化疗或手术干预联合化疗。

病例描述

一位 50 岁的男性患者因发现肝脏肿块来我院治疗。

诊断

原发性肝淋巴瘤的实验室检查和临床症状缺乏特异性,影像学表现也难以区分。病理是金标准。

治疗结果

患者死亡。

结论

明确诊断主要依赖于组织病理学检查,手术切除联合化疗可获得更好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d62/10727651/8cb85b77b4ff/medi-102-e36688-g001.jpg

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