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脊柱间变性大细胞淋巴瘤:1例罕见病例报告

Anaplastic Large Cell Lymphoma of the Spine: Report of a Rare Case.

作者信息

Ali Yasir, Naeem Ume Hani, Rahman Hefz U, Khan Sajid, Amin Shafqat, Ahmad Kamran, Durrani Haleema

机构信息

Internal Medicine, Hayatabad Medical Complex Peshawar, Peshawar, PAK.

Medical School, Khyber Girls Medical College, Peshawar, PAK.

出版信息

Cureus. 2024 Feb 21;16(2):e54602. doi: 10.7759/cureus.54602. eCollection 2024 Feb.

Abstract

This abstract discusses a rare case of anaplastic large cell lymphoma (ALCL) involving the cervical and dorsal spine in a 17-year-old female. ALCL is a distinct subtype of lymphoma characterized by abnormal proliferation of lymphocytes and is divided into ALK-positive and ALK-negative subtypes. Spinal involvement in ALCL is uncommon, particularly in the cervical and dorsal regions. The patient presented with persistent fever, weakness, and delayed onset of severe neck pain. Diagnosis involved imaging, bone marrow biopsy, and lymph node biopsy. Treatment strategies for ALCL typically involve a multimodal approach, including chemotherapy, radiotherapy, and targeted therapy. However, due to the rarity of spinal involvement, treatment decisions are based on extrapolation from other ALCL cases. Prognosis is influenced by disease stage and ALK status, but specific outcomes for spinal involvement remain poorly established. This case emphasizes the need for considering lymphoma in patients with unexplained symptoms and abnormal imaging findings. It highlights the importance of further research to improve the understanding and management of ALCL with spinal involvement.

摘要

本摘要讨论了一例罕见的间变性大细胞淋巴瘤(ALCL),累及一名17岁女性的颈椎和胸椎。ALCL是淋巴瘤的一种独特亚型,其特征为淋巴细胞异常增殖,分为ALK阳性和ALK阴性亚型。ALCL累及脊柱并不常见,尤其是在颈椎和胸椎区域。该患者表现为持续发热、虚弱以及严重颈部疼痛延迟发作。诊断包括影像学检查、骨髓活检和淋巴结活检。ALCL的治疗策略通常采用多模式方法,包括化疗、放疗和靶向治疗。然而,由于脊柱受累罕见,治疗决策基于从其他ALCL病例推断得出。预后受疾病分期和ALK状态影响,但脊柱受累的具体结局仍未明确。该病例强调了对于有不明原因症状和异常影像学表现的患者考虑淋巴瘤的必要性。它突出了进一步研究以增进对脊柱受累的ALCL的理解和管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f4c/10958758/ff8b7166c9a9/cureus-0016-00000054602-i01.jpg

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