右侧丘脑非霍奇金淋巴瘤1例并文献复习
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Non-hodgkin’s lymphoma in right thalamus:a case report and literature review
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    目的:报告1例右侧丘脑非霍奇金淋巴瘤,并综合国内外文献进行讨论,以提高对该病的认识。方法:对此例患者的临床表现、实验室检查、诊断和治疗进行分析,结合文献讨论该病的临床特征、诊断及其治疗方法。结果:本例患者术前相关资料高度提示右侧丘脑胶质瘤,术后病理检查确诊为右侧丘脑非霍奇金淋巴瘤,弥漫大B细胞型。患者术后未能行放、化疗,术后2月死亡。结论:丘脑非霍奇金淋巴瘤十分罕见,易被误诊为胶质瘤,需通过术前活检或术后病理检查确诊。通过对该例患者的临床特点及治疗经过的分析,提示丘脑淋巴瘤患者自然生存期较短,预后不佳。

    Abstract:

    Objective:To report a case of non-hodgkin’s lymphoma in the right thalamus and to discuss related literature at home and abroad in order to improve the understanding of the disease. Methods:The clinical manifestation,laboratory examination,diagnosis and treatment of this case were analyzed and its clinical characteristics,diagnosing and treating methods were discussed based on the literature review. Results:Preoperative literature indicated glioma in the right thalamus but postoperative histopathologic examination suggested non-hodgkin’s lymphoma,diffusing large B cell type. The patient died at two months after the surgery without performing chemotherapy and radiotherapy. Conclusion:Thalamus non-Hodgkin’s lymphoma is rarely seen and can be easily misdiagnosed as glioma. Diagnosis should be made according to the results of preoperative biopsy or postoperative histopathologic examination. The natural life period of patients with thalamus lymphoma is short and the prognosis is poor after analyzing the clinical characteristics and treating process.

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陶 武,谢延风,张光伟.右侧丘脑非霍奇金淋巴瘤1例并文献复习[J].重庆医科大学学报,2014,38(2):217-219

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  • 在线发布日期: 2014-09-23
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