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一名绝经后患者,宫内节育器放置超过20年,患有富含T细胞的B细胞淋巴瘤及子宫的EB病毒感染。

T-cell-rich B-cell lymphoma and Epstein-Barr virus infection of the uterus in a postmenopausal patient with an intrauterine contraceptive device in place for over 20 years.

作者信息

Gutman P D, Williams J P, Dveksler G S, Hoffmeister K, Cotelingam J D

机构信息

Department of Laboratory Medicine, National Naval Medical Center, Bethesda, Maryland, USA.

出版信息

Gynecol Oncol. 1998 Mar;68(3):288-92. doi: 10.1006/gyno.1997.4918.

DOI:10.1006/gyno.1997.4918
PMID:9570982
Abstract

Although secondary involvement of the female genital tract occurs in up to 40% of cases of disseminated lymphomas, lymphomas presenting with primary female genital tract symptomatology are very unusual. We report a case of T-cell-rich B-cell lymphoma (TCRBCL) arising in the uterine corpus of a 57-year-old female who carried an intrauterine contraceptive device (IUD) for over 20 years. Malignant lymphoid cells expressed the Epstein-Barr virus (EBV) late membrane protein (LMP), a feature described in TCRBCL but not previously reported in primary uterine lymphomas. To our knowledge, this is the first reported case of a TCRBCL of the uterus.

摘要

尽管在高达40%的播散性淋巴瘤病例中会出现女性生殖道的继发性受累,但以原发性女性生殖道症状表现的淋巴瘤非常罕见。我们报告一例发生在一名57岁女性子宫体的富于T细胞的B细胞淋巴瘤(TCRBCL),该女性放置宫内节育器(IUD)超过20年。恶性淋巴样细胞表达爱泼斯坦-巴尔病毒(EBV)晚期膜蛋白(LMP),这是TCRBCL中描述的一个特征,但此前在原发性子宫淋巴瘤中未见报道。据我们所知,这是首例报道的子宫TCRBCL病例。

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