原发性结外弥漫性大B细胞淋巴瘤伪装为急性化脓性肌炎一例报告

Q4 Medicine
M. Dassi, G. Aggarwal, L. Jha, N. Aggarwal
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引用次数: 0

摘要

弥漫性大B细胞淋巴瘤是非霍奇金淋巴瘤中最常见的亚型。它可能表现为原发性淋巴结或结外受累。高达40%的患者存在原发性结外受累,最常见的受累部位是胃肠道、睾丸、中枢神经系统、甲状腺、鼻子、鼻窦、皮肤、乳房、骨骼和呼吸道。骨骼肌是一种罕见的原发性淋巴瘤累及部位。我们报告了一例弥漫性大B细胞淋巴瘤,主要累及骨骼肌和乳房,最初作为一例急性化脓性肌炎伴败血症伴多器官功能障碍综合征进行治疗。此外,患者有高钙血症、皮质静脉血栓形成、蛋白尿和肾功能障碍,这些都被推测为病因上的副肿瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary Extranodal Diffuse Large B Cell Lymphoma Masquerading As Acute Pyogenic Myositis: A Case Report
Diffuse Large B Cell Lymphoma is the commonest subtype of Non-Hodgkin’s Lymphoma. It may present with primary nodal or extranodal involvement. Up to 40% of patients present with primary extranodal involvement, the commonest involved sites being gastrointestinal tract, testes, central nervous system, thyroid, nose, sinuses, skin, breast, bone and respiratory tract. Skeletal Muscle is a rare site of primary lymphomatous involvement. We present a case of Diffuse Large B Cell lymphoma primarily involving the skeletal muscles and breast, initially managed as a case of acute pyogenic myositis with sepsis with Multiple Organ Dysfunction Syndrome. In addition, the patient had hypercalcemia, cortical vein thrombosis, proteinuria and renal dysfunction, which were all speculated to be paraneoplastic in etiology.
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CiteScore
0.30
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