Arisawa K, Morita S, Kojima H, Inui A, Yoshino G, Hayashi Y, Kasuga M
Second Department of Internal Medicine, Kobe University School of Medicine.
Rinsho Ketsueki. 1994 Sep;35(9):871-5.
A 60-year-old female was admitted complaining of anemia. We diagnosed her hereditary spherocytosis (HS) from spherocytosis and family history and found a tumor in her enlarged spleen. Splenectomy was performed and swollen paraaortic lymph nodes were found at laparotomy. The tumor in the spleen was diagnosed as Non-Hodgkin's lymphoma (follicular mixed type). After CHOP therapy she entered complete remission. Though the relationship between HS and malignant lymphoma was not clear, splenomegaly due to hemolysis inducing chronic stimulation might have resulted in malignant lymphoma.
一名60岁女性因贫血入院。根据球形红细胞增多症和家族病史,我们诊断她患有遗传性球形红细胞增多症(HS),并在其肿大的脾脏中发现了一个肿瘤。进行了脾切除术,术中发现主动脉旁淋巴结肿大。脾脏中的肿瘤被诊断为非霍奇金淋巴瘤(滤泡混合型)。经过CHOP方案化疗后,她达到完全缓解。虽然HS与恶性淋巴瘤之间的关系尚不清楚,但溶血引起的脾肿大导致的慢性刺激可能引发了恶性淋巴瘤。