Brugière O, Pialoux G, Carnot F, Pol S, Fournier S, Deslandes P, Trotot P, Dupont B
Service des Maladies Infectieuses et Tropicales, Hôpital de l'Institut Pasteur, Paris.
Gastroenterol Clin Biol. 1996;20(3):307-11.
The occurrence of primary non Hodgkin's lymphoma of the liver has rarely been reported in patients with the human immunodeficiency virus infection. We report 3 cases in these patients, presenting with a single liver tumor in 2 cases and multiple tumors in one case. Diagnosis was made by guided-biopsy. Histologically, there was B diffuse large cell lymphoma in 2 cases, and immunoblastic lymphoma in one case. In one case, RNA of Epstein-Barr virus was found in the nucleus of tumor cells by in situ hybridization. No extrahepatic localization was found in any of the 3 cases. One patient died one week after diagnosis, but the 2 other patients were treated by chemotherapy and were still alive 6 and 30 months later. In patients infected by human immunodeficiency virus, primary non Hodgkin's lymphoma should be investigated in case of liver tumor in order to provide early treatment.
原发性肝脏非霍奇金淋巴瘤在人类免疫缺陷病毒感染患者中的发生情况鲜有报道。我们报告了3例此类患者,其中2例表现为单个肝脏肿瘤,1例为多个肿瘤。诊断通过引导活检做出。组织学上,2例为B弥漫大细胞淋巴瘤,1例为免疫母细胞淋巴瘤。在1例中,通过原位杂交在肿瘤细胞核中发现了爱泼斯坦-巴尔病毒的RNA。3例患者均未发现肝外定位。1例患者在诊断后1周死亡,但另外2例患者接受了化疗,6个月和30个月后仍存活。在人类免疫缺陷病毒感染患者中,若出现肝脏肿瘤应排查原发性非霍奇金淋巴瘤以便早期治疗。