关键词: Biopsy Diagnostic medicine Histiocytes Hospital medicine Lymph nodes Plasma cells Rosai Dorfman Disease

来  源:   DOI:10.7326/aimcc.2022.0539   PDF(Pubmed)

Abstract:
We present a patient case of a 73-year-old man with new-onset substernal chest pain and B symptoms, found on computed tomography imaging to have massive mediastinal lymphadenopathy of more than 6 cm. Positron emission tomography imaging revealed fluorodeoxyglucose-avid nodes further extending to the axillary, abdominal, and inguinal regions. After a broad patient work-up for infectious, malignant, and rheumatic causes, he was ultimately diagnosed with Rosai-Dorfman disease, a rare histiocytic neoplasm, by excisional lymph node biopsy.
摘要:
我们介绍了一个73岁的男性患者,新发胸骨后胸痛和B症状,在计算机断层扫描成像中发现有超过6厘米的巨大纵隔淋巴结肿大。正电子发射断层扫描成像显示氟代脱氧葡萄糖狂热的淋巴结进一步延伸到腋窝,腹部,和腹股沟区域。经过广泛的病人感染检查,恶性,和风湿病的原因,他最终被诊断出患有Rosai-Dorfman病,一种罕见的组织细胞肿瘤,通过切除淋巴结活检。
公众号