肾淋巴瘤：肝外胆管梗阻的罕见原因。
Renal lymphoma: an unusual cause of extrahepatic biliary obstruction.
作者信息
Abbas Z, Johnston D A, Murray F E
机构信息
Department of Clinical Pharmacology, Ninewells Hospital and Medical School, Dundee, UK.
出版信息
Postgrad Med J. 1996 Oct;72(852):617-8. doi: 10.1136/pgmj.72.852.617.
This report describes a case of lymphoma arising in a kidney subjected to previous pyelolithotomy, lithotripsies and percutaneous nephrolithotomy. The tumour had invaded the pancreas and duodenum, resulting in extrahepatic biliary and gastric outlet obstructions. Fine-needle apiration cytology guided by computed tomography failed to suggest the diagnosis which was confirmed only on laparotomy and open biopsy. Drainage procedures were performed to relieve the obstructions. To our knowledge this is the first case report of renal lymphoma presenting with extrahepatic biliary obstruction.
本报告描述了一例淋巴瘤病例，该淋巴瘤发生于此前接受过肾盂切开取石术、碎石术和经皮肾镜取石术的肾脏。肿瘤侵犯了胰腺和十二指肠，导致肝外胆管和胃出口梗阻。计算机断层扫描引导下的细针穿刺抽吸细胞学检查未能提示诊断，仅在剖腹手术和开放活检时才得以确诊。为缓解梗阻进行了引流手术。据我们所知，这是首例表现为肝外胆管梗阻的肾淋巴瘤病例报告。
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