肠系膜根部滤泡型淋巴瘤
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讨论
滤泡性淋巴瘤是滤泡中心B细胞发生的淋巴瘤,一般表现为反复的无痛性多个淋巴结肿大,尤其以腹股沟淋巴结受累为常见,但也可见于结外如胃肠道、软组织、皮肤等其他部位。多数患者在诊断时已有广泛扩散,如累及到外周和中央(胸、腹)淋巴结及脾。
本例特征表现:肠系膜区多发肿块、结节,包绕肠系膜上动脉呈“三明治”样外观,增强后,肿块轻度强化,部分病灶内可见坏死。
滤泡性淋巴瘤的预后与组织学分级有关,1-2级为惰性淋巴结,不易治愈,3级为有较强的侵袭性,但如果采用较强治疗方法有治愈的潜在可能性。
参考文献:王小英, 刘德纯, 王玉华, 等. 扩散性滤泡性淋巴瘤1例报告并文献复习[J].实用癌症杂志,2010,25(6):682.
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