酷似慢性结肠炎的里氏综合征。一名患有弥漫性组织细胞淋巴瘤并发慢性淋巴细胞白血病的患者。

Richter's syndrome mimicking chronic colitis. A patient with diffuse histiocytic lymphoma complicating chronic lymphocytic leukemia.

作者信息

Wilson J A

出版信息

Dis Colon Rectum. 1986 Mar;29(3):191-5. doi: 10.1007/BF02555022.

Abstract

A 62-year-old woman developed diffuse histiocytic lymphoma in the course of chronic lymphocytic leukemia and manifested symptoms mimicking chronic ulcerative colitis. Chronic lymphocytic leukemia may be complicated by the development of lymphoma designated Richter's syndrome. These lymphomas may present in the gastrointestinal tract with signs and symptoms suggestive of chronic inflammatory bowel disease. Initial diagnostic studies, especially barium studies, may yield similar findings. However, histologic findings and clinical course are particularly important in differentiating the disorders.

摘要

一名62岁女性在慢性淋巴细胞白血病病程中发生弥漫性组织细胞淋巴瘤，并表现出类似慢性溃疡性结肠炎的症状。慢性淋巴细胞白血病可能并发名为里氏综合征的淋巴瘤。这些淋巴瘤可能在胃肠道出现，伴有提示慢性炎症性肠病的体征和症状。初始诊断研究，尤其是钡剂造影检查，可能会得出相似的结果。然而，组织学检查结果和临床病程对于区分这些疾病尤为重要。