关键词: Case report Chemotherapy Operative Primary hepatic lymphoma Pyogenic liver abscess

来  源:   DOI:10.12998/wjcc.v12.i21.4742   PDF(Pubmed)

Abstract:
BACKGROUND: Primary hepatic lymphoma (PHL) is a lymphoproliferative disorder confined to the liver without peripheral lymph node involvement and bone marrow invasion. PHL is extremely rare in clinical practice. The etiology and pathogenesis of PHL are largely unknown. There are no common standard protocols or guidelines for the treatment of PHL.
METHODS: We report the case of a 66-year-old man who presented with fever and abdominal pain for three weeks. Computed tomography and magnetic resonance imaging scans showed a pyogenic liver abscess. The patient underwent a right posterior hepatectomy. The surgical pathology revealed aggressive B-cell lymphoma, with a primary consideration of diffuse large B-cell lymphoma of non-germinal center origin.
CONCLUSIONS: This article reviews the characteristics, mechanism and treatment of PHL and provides insight into the diagnosis of PHL.
摘要:
背景:原发性肝淋巴瘤(PHL)是一种局限于肝脏的淋巴增殖性疾病,没有周围淋巴结和骨髓浸润。PHL在临床实践中极为罕见。PHL的病因和发病机制在很大程度上是未知的。对于PHL的治疗没有通用的标准方案或指南。
方法:我们报告了一例66岁的男子,他出现了3周的发热和腹痛。计算机断层扫描和磁共振成像扫描显示化脓性肝脓肿。患者接受了右后肝切除术。手术病理提示侵袭性B细胞淋巴瘤,主要考虑非生发中心起源的弥漫性大B细胞淋巴瘤。
结论:本文回顾了其特点,PHL的机制和治疗,并提供对PHL的诊断的见解。
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