一例通过腹腔镜淋巴结切除术确诊的一级卵泡淋巴瘤:与子宫内膜癌晚期淋巴结复发的鉴别。

IF 0.5 Q4 ONCOLOGY
International Cancer Conference Journal Pub Date : 2024-09-17 eCollection Date: 2024-10-01 DOI:10.1007/s13691-024-00724-z
Shingo Koyama, Haruko Okamoto, Koji Yamanoi, Rin Mizuno, Masumi Sunada, Mana Taki, Ryusuke Murakami, Hiroaki Ito, Ken Yamaguchi, Junzo Hamanishi, Masaki Mandai
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引用次数: 0

摘要

滤泡性淋巴瘤是一种常见的血液系统恶性肿瘤,但它在所有恶性疾病中并不常见,而且由于缺乏特异性临床表现,很难被提前怀疑。在此,我们报告了一例先怀疑为冠状沟癌晚期复发,最后确诊为滤泡性淋巴瘤的病例。一名 67 岁的女性因盆腔淋巴结肿大来我科就诊。她在 16 年前被诊断出患有乳腺癌(HER2-原位癌,淋巴结转移)和子宫体癌(子宫内膜样癌 2 级,IA 期),接受了明确的治疗并接受了随访。患者接受了正电子发射断层扫描,发现多个淋巴结有 18F- 氟脱氧葡萄糖(FDG)聚集,其中包括大小和肿大均无变化的淋巴结。我们在腹腔镜下切除了肿大和FDG积聚的淋巴结,并进行了病理检查。患者被诊断为滤泡性淋巴瘤(FL)1 级,目前正在血液科接受观察。当淋巴结大小变化与 FDG 累积程度不一致时,可考虑为 FL。病理检查有助于准确诊断。因此,必须考虑采集组织,但必须注意尽量减少手术对患者的创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of grade1 follicular lymphoma diagnosed by laparoscopic lymph node resection: differentiating from late lymph node recurrence of endometrial cancer.

Follicular lymphoma is a common hematologic malignancy; however, it is less common among all malignant diseases and is difficult to suspect in advance due to the lack of specific clinical findings. Here, we report a case in which a late recurrence of corpus cancer was first suspected and finally diagnosed as follicular lymphoma. A 67-year-old female presented to our department with enlarged pelvic lymph nodes. She was diagnosed with breast cancer (HER2-posiotive with lymph node metastasis) and corpus cancer (endometrioid carcinoma grade 2, stage IA) 16 years prior, received definitive therapy and was followed up. A positron emission tomography scan was performed, and an accumulation of 18F-fluorodeoxyglucose (FDG) was detected in multiple lymph nodes, including the lymph nodes with no change in size or enlargement. We performed laparoscopic resection of the enlarged and FDG-accumulated lymph nodes and a pathological examination. The patient was diagnosed with follicular lymphoma (FL) grade 1 and is currently under observation at the Department of Hematology. FL can be considered when there is a discrepancy between the change in lymph node size and the degree of FDG accumulation. A pathological examination is useful for accurate diagnosis. Therefore, it is important to consider tissue collection; however, care must be taken to minimize the invasiveness of the procedure for the patient.

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来源期刊
自引率
14.30%
发文量
57
期刊介绍: This online-only journal publishes original case reports on all types of cancer. In particular, we welcome not only case reports of educational value in the diagnosis and treatment of cancers, but also reports on molecularly analyzed cancer cases, including gene mutations, gene fusions, gene expression, and changes in copy number, regardless of their known clinical significance. Assessing the molecular analysis of a tumor usually requires a “cancer conference” in which experts from various fields discuss it. Even if the authors and their respective “cancer conference” were unable to determine the clinical significance of molecular changes at the time of submission and publication, their data may provide evidence that will help the scientific community develop precision medicine solutions in the future. We welcome case reports with reviews of the literature on similar cases, as they are more useful and valuable to readers than are reports of rare cases. International Cancer Conference Journal is the official publication of the Japan Society of Clinical Oncology (JSCO). - Presents an online-only collection of original case reports on all types of cancer - In particular, welcomes molecularly analyzed cancer cases - The Official Publication of the Japan Society of Clinical Oncology (JSCO)
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