Runyon B A, Hoefs J C
Arch Intern Med. 1986 May;146(5):887-8.
Three patients had autopsy-proved peritoneal lymphomatosis with ascites. Ascitic fluid analysis was characteristic in that the total protein level was greater than 2.5 g/dL, the lactate dehydrogenase level was greater than 225 mU/mL (the upper limit of normal for serum), and the glucose level was less than 50 mg/dL in all patients. Atypical cells were noted on ascitic fluid cytologic studies, and peritoneoscopic biopsy specimens were diagnostic of lymphoma in all three cases. Gut ulceration was present in all patients; a gastric ulcer, a duodenal ulcer, and a colonic ulcer were found to have invasion by lymphoma at autopsy. No patient lived long enough to receive chemotherapy. Perhaps if the diagnosis of lymphoma could have been made earlier, their lives could have been prolonged.
三名患者经尸检证实患有伴有腹水的腹膜淋巴瘤。腹水分析具有以下特征：所有患者的总蛋白水平均高于2.5 g/dL，乳酸脱氢酶水平高于225 mU/mL（血清正常上限），葡萄糖水平低于50 mg/dL。腹水细胞学检查发现非典型细胞，所有三例患者的腹膜镜活检标本均诊断为淋巴瘤。所有患者均存在肠道溃疡；尸检发现胃溃疡、十二指肠溃疡和结肠溃疡均有淋巴瘤浸润。没有患者存活足够长的时间接受化疗。或许如果能更早地诊断出淋巴瘤，他们的生命可能会得以延长。
