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[深部淋巴结病的未知病因:与关节假体相关的聚乙烯组织细胞增多症]

[An unknown cause of deep lymphadenopathies: polyethylene histiocytosis related to a joint prosthesis].

作者信息

Bertrand A F, Bertrand G, Dauver N, Richard M C

机构信息

Centre Paul Papin, Angers.

出版信息

Ann Radiol (Paris). 1993;36(2):114-7.

PMID:8333710
Abstract

A case of deep seated lomboaortic lymph node enlargement, due to a storage hitiocytosis by fragments of polyethylene, draining the site of hip joint prosthesis is reported. These lymph node enlargement, made visible by tomodensitometry, were satellites of an ovarian adenocarcinoma. The artificial hip joint operation had taken place 17 years before and 10 years later the patient underwent a secondary operation to replace the prosthesis of the right hip. To the knowledge of the authors this is the first recorded case of lymph node enlargement due to a storage histiocytosis in response to debris shed from hip prosthesis being made visible by way of a radiological examination.

摘要

报道了一例因聚乙烯碎片导致的贮积性组织细胞增多症,引起深部腰主动脉旁淋巴结肿大,该碎片来自髋关节假体引流部位。这些淋巴结肿大通过断层扫描得以显现,是卵巢腺癌的卫星灶。人工髋关节手术于17年前进行,10年后患者接受了二次手术以更换右髋假体。据作者所知,这是首例经放射学检查发现因髋关节假体碎片引发贮积性组织细胞增多症导致淋巴结肿大的病例记录。

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