Stokes S H, Griffith R C, Thomas P R
Cancer. 1985 Aug 15;56(4):876-9. doi: 10.1002/1097-0142(19850815)56:4<876::aid-cncr2820560429>3.0.co;2-c.
A 45-year-old man presented with lower thoracic pain, proteinuria, and destruction of thoracic vertebra from an adjacent unresectable paraspinal mass which, on biopsy, demonstrated angiofollicular lymph node hyperplasia (AFLNH). The patient received 3939 rad in 22 fractions to the mass and associated area of vertebral destruction. The patient is currently asymptomatic without recurrence of pain or progression of neurologic symptoms 5 years after radiotherapy. There has been resolution of the previous proteinuria. Serial computerized tomography scans and x-rays show no change in the paraspinal mass nor resolution of the vertebral destruction adjacent to the mass. A search of the English literature has failed to identify any previous association of AFLNH and bone destruction.
一名45岁男性因下胸部疼痛、蛋白尿以及相邻不可切除的椎旁肿块导致胸椎破坏而就诊。活检显示该肿块为血管滤泡性淋巴结增生（AFLNH）。患者接受了针对肿块及相关椎体破坏区域的22次分割照射，总剂量达3939拉德。放疗5年后，患者目前无症状，疼痛未复发，神经症状也未进展。之前的蛋白尿已消失。系列计算机断层扫描和X线检查显示，椎旁肿块无变化，肿块相邻部位的椎体破坏也未缓解。检索英文文献未发现此前有AFLNH与骨破坏相关的报道。
