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肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤1例

Primary invasive B-cell lymphoma involving anastomotic hemangioma in the liver:a case report
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摘要 肝脏原发侵袭性B细胞淋巴瘤与肝脏吻合状血管瘤在临床上均较为少见。肝脏原发淋巴瘤虽为恶性,但发病率较低,很容易在诊断过程中被忽略,从而导致患者的预后不良。侵袭性B细胞淋巴瘤可发生于淋巴结和结外组织,且生发中心外来源者比非生发中心来源者预后差。该类疾病对化疗敏感,R-CHOP方案[CD20单克隆抗体(R)与环磷酰胺+多柔比星或表柔比星+长春新碱+泼尼松(CHOP)合用]可显著改善患者生存情况。肝血管瘤为良性,大部分属于海绵状;而吻合状血管瘤属于毛细血管瘤的一种亚型,较为罕见,且在病理诊断中如病理医师缺乏经验,可能误诊为血管肉瘤。吻合状血管瘤最初见于肾脏及睾丸,较少的病例也可发生于肝脏。目前肝脏原发B细胞淋巴瘤累及血管瘤的相关病例仅报道3例,诊断过程中如遇到该类疾病时容易漏诊或误诊。本文报道1例肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤病例的诊疗经过,旨在为临床诊断该类疾病时提供一些信息参考,尽可能减少误诊或漏诊,从而最大程度延长患者生存期,有效提高患者生存质量。
作者 王梓悦 朱颐楠 路婉晨 席海燕 林旭勇 宋艳 Wang Ziyue;Zhu Yinan;Lu Wanchen
出处 《肝癌电子杂志》 2025年第1期30-32,共3页 Electronic Journal of Liver Tumor
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