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原發性後縱膈腔非霍杰金氏淋巴瘤-病例報告

Primary Non-Hodgkin's Lymphoma of Posterior Mediastinum: A Case Report

摘要


後縱膈腔的原發性惡性淋巴瘤在文獻上是相當罕見的。本文報告一例75歲男性,為多年非胰島素依賴型糖尿病的患者,因藥物使用不慎,造成低血糖性昏迷,被送至急診室求治,而胸部X光片卻意外發現一縱膈腔腫瘤,進一步胸部電腦斷層攝影發現右後縱膈腔腫瘤合併同側肋膜腔積液,藉由胸腔鏡做腫瘤生檢術,並在病理組織和免疫化學染色的檢查下,證實此一腫瘤屬於B細胞的瀰漫大細胞型之惡性淋巴瘤,身上其它部位的檢查並無淋巴瘤的侵犯。病人於是給予CHOP之化學治療,在三個療程後,獲得完全緩解,並接受完整六個療程的CHOP治療。在門診追蹤的一年中,病人並無腫瘤復發的現象。

並列摘要


Primary non-Hodgkin's lymphoma (NHL) arising from the posterior mediastinum is rarely reported in the literature. Here we presented a 75-year-old male who called medical attention because of drug-induced hypoglycemia. A chest roentgenogram incidentally disclosed a mediastinal mass. The computer tomography scanning of chest revealed a posterior mediastinal mass with pleural effusioin. The thoracoscopic biopsy was done. The histology and immunohistochemical studies of specimen identified a malignant lymphoma, diffuse large cell, B cell in nature. No other lesion was found after the subsequent work-up. He was treated with chemotherapy of CHOP. Complete remission was achieved after three courses of CHOP. Then he completed total six courses of chemotherapy. He continued to be disease-free survival and followed up at our OPD.

並列關鍵字

Han-Hodgkin's lymphoma Mediartinum

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