Carson H J
Department of Pathology, Resurrection Medical Center, Chicago Illinois 60631, USA.
Leuk Lymphoma. 1996 Nov;23(5-6):625-9. doi: 10.3109/10428199609054875.
We report three patients in whom non-Hodgkin's lymphomas (NHL) were unexpectedly found during treatment of previously-diagnosed carcinoma. The first patient was a 72 year old woman with an endometrioid carcinoma in whom NHL was found in the pelvic lymph nodes. The second patient was a 76 year-old man with adenocarcinoma of the stomach and NHL of the small intestine. The third patient was a 66 year old man with adenocarcinoma of the prostate and NHL of the iliac lymph nodes. In these patients, it was necessary to exclude metastasis of the known carcinoma and to establish the diagnosis of unexpected NHL. The adjuvant treatment plans of the patients were ultimately not significantly altered, but increased surveillance for recurrence of two neoplasms is now warranted. These patients altered us to beware of indolent NHL in specimens removed for the treatment of carcinoma.
我们报告了3例患者，他们在先前诊断的癌症治疗过程中意外发现了非霍奇金淋巴瘤（NHL）。首例患者为一名72岁女性，患有子宫内膜样癌，在盆腔淋巴结中发现了NHL。第二例患者是一名76岁男性，患有胃腺癌和小肠NHL。第三例患者是一名66岁男性，患有前列腺腺癌和髂淋巴结NHL。对于这些患者，有必要排除已知癌症的转移，并确立意外NHL的诊断。患者的辅助治疗方案最终没有显著改变，但现在有必要加强对这两种肿瘤复发的监测。这些患者提醒我们，在为治疗癌症而切除的标本中要警惕惰性NHL。
