Vera Llao R, Girons Bonells J, Serrano Piñol T, Sandoval Puig M, Nogues Orpi J, Dicenta Sousa M
Servicio de ORL, L'Hospitalet de Llobregat, Barcelona.
Acta Otorrinolaringol Esp. 1996 May-Jun;47(3):239-42.
Differentiating between Wegener's granulomatosis and other destructive centrofacial lesions often is difficult for clinicians and pathologists. It has become more confusing since what until now was known as "malignant centrofacial granulomatosis" seems to be a peripheral T-cell lymphoma. The case of an 83-year-old male recently diagnosed as angiocentric peripheral T-cell lymphoma which presented as a destructive centrofacial process is reported. The probable pathogenic role of Epstein-Barr virus (EBV) is highlighted.
对于临床医生和病理学家而言,区分韦格纳肉芽肿与其他面部中央破坏性病变往往颇具难度。自如今所谓的“恶性面部中央肉芽肿”似乎是一种外周T细胞淋巴瘤以来,情况变得更加复杂。本文报道了一例83岁男性患者,近期被诊断为血管中心性外周T细胞淋巴瘤,其表现为面部中央破坏性病变。文中强调了爱泼斯坦-巴尔病毒(EBV)可能的致病作用。