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伴有肠系膜定位的淋巴瘤样肉芽肿病。分类学问题(作者译)

[Lymphomatoid granulomatosis with mesenteric localization. Nosologic problems (author's transl)].

作者信息

Oddou J H, Maresca C, Oddou M C, Garcin G, Lebreuil G

出版信息

Sem Hop. 1982 Jun 17;58(24):1505-9.

PMID:6287619
Abstract

The authors report the case of a 70-year-old woman with a mesenteric tumor, apparently isolated. Histologic examination led to the diagnosis of lymphomatoid granulomatosis. A review of the literature found four previously published cases of lymphomatoid granulomatosis with mesenteric localization, and with or without pulmonary involvement. The general features of this affection are recalled. Special attention is given to forms without pulmonary involvement (Liebow granulomatosis) as well as to their relationship with polymorphic reticulosis. Separation of these two disorders, which depended mainly on a strict distribution of the various lesions, seems questionable. The authors tend to consider that both conditions belong to the same nosologic group, sincea pathological features are similar and borderline cases exist.

摘要

作者报告了一例70岁肠系膜肿瘤女性病例,该肿瘤显然为孤立性。组织学检查诊断为淋巴瘤样肉芽肿病。文献回顾发现此前有4例已发表的淋巴瘤样肉芽肿病病例,病变定位于肠系膜,伴或不伴有肺部受累。本文回顾了该病的一般特征。特别关注无肺部受累的类型(利伯氏肉芽肿病)及其与多形性网状细胞增生症的关系。这两种疾病主要依靠各种病变的严格分布来区分,这种区分似乎存在疑问。作者倾向于认为这两种疾病属于同一疾病分类组,因为它们的病理特征相似且存在交界病例。

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