异常表达CD79α的单形性嗜上皮肠道T细胞淋巴瘤1例
Chinese Journal of Diagnostic Pathology（2022）
Abstract
患者男性,77岁,入院(2020-03)前2个月无明显诱因出现脐周隐痛,为阵发性,伴乏力、双下肢水肿,无恶性、呕吐,无腹泻、黑便、呕血等不适,症状能忍受未行治疗;入院前1天,患者饭后突发疼痛加重,逐渐转移至中下腹,呈持续性剧烈胀痛,可放射至会阴,无明显恶心、呕吐,急诊入院.急诊CT显示:盆腔见较大厚壁肿块,约10.7 cm×9.2 cm×6.8 cm,见一直径约1.3 cm的实性结节突入肠腔内,邻近肠系膜淋巴结肿大,考虑肿瘤性病变,淋巴瘤可能性大.临床以空腔脏器肿瘤伴穿孔行急诊手术.术中所见:肿块位于空肠,与周围直肠及乙状结肠交界处粘连,行部分小肠切除术后送病检.
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