从开放性创面治疗到原发性软组织非霍奇金淋巴瘤诊断;一个具有挑战性的案例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Ahmet Askar
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引用次数: 0

摘要

原发性软组织结外淋巴瘤是罕见的临床疾病。就其性质而言,它们会在受影响的四肢周围引起明显的肿胀,而且很容易被误诊为肉瘤等其他疾病。我们有一个不幸的经历,一位年轻的男性患者因右大腿有一个大肿块而被另一家诊所收治,该患者被诊断为间变性多形性肉瘤,并计划进行手术。病人拒绝手术,右大腿上有一个开放性伤口,他被送进了我们的急诊室。通过抗生素治疗、组织清创、幼虫治疗和真空辅助闭合,开放性伤口管理成功。病理复查显示弥漫性大b细胞淋巴瘤。经过平淡无奇的随访后,患者被转到血液科诊所。这个病例强调了在做出可能导致不愉快后果的手术干预决定之前考虑替代诊断的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report.

From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report.

From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report.

From open wound treatment to primary soft-tissue non-Hodgkin lymphoma diagnosis; a challenging case report.

Primary soft-tissue extranodal lymphomas are rare clinical entities. By their natures, they can cause significant swelling around the affected extremities, and they can be easily misdiagnosed with other conditions like sarcomas. We share an unfortunate experience of a young male patient who was admitted to another clinic with complaints of a large mass in his right thigh, the patient has been diagnosed with anaplastic pleomorphic sarcoma, and he was scheduled for surgery. The patient refused the operation and was admitted to our emergency clinic with an open wound on his right thigh. Successful open wound management was achieved with antibiotic therapy, tissue debridement, larvae therapy, and Vacuum-assisted closure. Meanwhile, the pathologic re-examination revealed diffuse large B-cell lymphoma. After an uneventful follow-up, the patient was referred to the hematology clinic. This case highlights the importance of considering alternative diagnoses before making surgical intervention decisions that may result in unpleasing consequences.

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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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