[原发性膀胱粘膜相关淋巴组织淋巴瘤1例]。

Q4 Medicine
Tetsuya Imamura, Shiori Miyachi, Eiho Horiuchi, Takeshi Ikeda
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引用次数: 0

摘要

68岁女性,肉眼可见血尿。膀胱镜检查显示一广基粘膜下肿块。计算机断层扫描显示一个3.5 × 2.5 cm的孤立性肿块,位于三角区至左侧膀胱外侧壁和左侧输尿管和肾积水处。t2加权磁共振成像(MRI)显示低强度,弥散加权MRI显示弥散增加,但无侵袭。膀胱肿瘤立即经尿道切除。经尿道切除获得的组织的组织学诊断为结外边缘区B细胞淋巴瘤。正电子发射断层扫描除膀胱肿瘤外未见其他病变。患者被诊断为膀胱ie期淋巴瘤(Ann Arbor分类)。膀胱和骨盆放射治疗(30 Gy),利妥昔单抗(375 mg/m2) 6个疗程。48个月随访后未见局部或远处复发。
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 PRIMARY MUCOSA-ASSOCIATED LYMPHOID TISSUE (MALT) LYMPHOMA OF THE URINARY BLADDER].

A 68-year-old female presented with macroscopic hematuria. Cystoscopy revealed a wide-based submucosal mass. Computed tomography revealed a 3.5 × 2.5-cm solitary mass situated from the trigone to the left lateral bladder wall and the left hydroureter and hydronephrosis. T2-weighted magnetic resonance imaging (MRI) revealed low intensity, and diffusion-weighed MRI showed increased diffusion without invasion. The bladder tumor was immediately resected transurethrally. Histological diagnosis of the tissue obtained by transurethral resection was extranodal marginal zone B cell lymphoma of MALT. Positron emission tomography-CT showed no lesions other than the bladder tumor. The patient was diagnosed with stage-IE lymphoma of the bladder (Ann Arbor classification). Radiotherapy was performed at the bladder and pelvis (30 Gy) with six courses of rituximab (375 mg/m2). No local or distant recurrence after a 48-month follow-up was noted.

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来源期刊
Japanese Journal of Urology
Japanese Journal of Urology Medicine-Urology
CiteScore
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