Lafuente Lafuente C, Dhimes Tejada P, Rojo Marcos G, Carabias López E
Servicio de Medicina Interna, Hospital Universitario 12 de Octubre, Madrid.
An Med Interna. 1995 May;12(5):243-5.
Intravascular lymphomatosis (IL), previously called "malignant angioendotheliomatosis", is a rare neoplastic disease in which mononuclear cells, of demonstrated lymphoid origin, proliferate in small blood vessels lumen. Any organ may be involved, standing out general status affectation, skin and central nervous system (CNS) because their frequency. A case of this disease is reported, who presented general impairment with prolonged fever, abdominal pain and cutaneous arborescent telangiectasias as the most significant clinical data. It become fatal in a short time. It was clinically considered to be a sepsis and diagnosis was only obtained in post-mortem study. This study revealed multiple organ infiltration by this neoplasm, with the notable exception of CNS. Immunohistochemical study confirmed the lymphoid origin of neoplastic cells. The main characteristics of IL are reviewed.
血管内淋巴瘤(IL),以前称为“恶性血管内皮瘤病”,是一种罕见的肿瘤性疾病,其中已证实起源于淋巴样的单核细胞在小血管腔内增殖。任何器官都可能受累,由于其发病率,全身状况、皮肤和中枢神经系统(CNS)受累较为突出。本文报告了一例该疾病患者,其主要临床资料为全身功能障碍、持续发热、腹痛和皮肤树枝状毛细血管扩张。患者在短时间内死亡。临床上最初认为是败血症,仅在尸检研究中才得以确诊。该研究显示该肿瘤浸润多个器官,但中枢神经系统明显除外。免疫组织化学研究证实了肿瘤细胞的淋巴样起源。本文对血管内淋巴瘤的主要特征进行了综述。