胰腺淋巴瘤的诊断困境。病例报告及文献复习。

Diagnostic dilemma in pancreatic lymphoma. Case report and review.

作者信息

Cario E, Rünzi M, Metz K, Layer P, Goebell H

机构信息

Department of Medicine, University of Essen, Germany.

出版信息

Int J Pancreatol. 1997 Aug;22(1):67-71. doi: 10.1007/BF02803907.

DOI:10.1007/BF02803907

PMID:9387027

Abstract

Non-Hodgkin's lymphoma predominantly involving the pancreas is a rare tumor of the gastrointestinal tract. Diagnosis can be difficult, since lymphoma may mimic carcinoma or pancreatitis. Lymphoproliferative diseases induced by immunosuppressive therapy frequently occur in the gastrointestinal tract of posttransplant patients. However, pancreatic involvement of posttransplant lymphoma is an exceptional condition. We present the case of a cyclosporin-treated renal transplant recipient with pancreatic lymphoma mimicking carcinomatous or inflammatory tumors. The diagnostic difficulties and treatment options of pancreatic lymphoma as well as lymphoproliferative disorders in immunosuppressed renal recipients are discussed in light of the current literature.

摘要

主要累及胰腺的非霍奇金淋巴瘤是一种罕见的胃肠道肿瘤。诊断可能会很困难，因为淋巴瘤可能会酷似癌或胰腺炎。免疫抑制治疗诱发的淋巴增殖性疾病经常发生在移植后患者的胃肠道。然而，移植后淋巴瘤累及胰腺是一种特殊情况。我们报告一例接受环孢素治疗的肾移植受者发生胰腺淋巴瘤，酷似癌性或炎性肿瘤。结合当前文献讨论了胰腺淋巴瘤以及免疫抑制肾移植受者淋巴增殖性疾病的诊断困难和治疗选择。