- 期刊
Diffuse Large B-Cell Lymphoma of the Frontal Sinus with Orbital Invasion: A Case Report
額竇瀰漫性大B細胞淋巴瘤合併眼窩侵犯：案例報告
摘要
Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of non-Hodgkin lymphoma (NHL), accounting for 30 ~ 40% of all cases. Common extranodal sites for lymphoma include the stomach, intestine, liver, soft tissue, dura, and bone. Sinonasal lymphoma represents 1.5 ~ 15% of all lymphomas in the United States and 2.6 ~ 6.7% of all lymphomas in Asia. To the best of our knowledge, only 15 cases of sinonasal lymphoma located in the frontal sinus have been reported in the literature. Diagnosis of DLBCL in the paranasal sinus is difficult due to its unspecific symptoms, which include ocular disturbances, rhinorrhea, nasal blockage, epistaxis, and headache. It can easily be misdiagnosed as an inflammatory disease, such as rhinosinusitis, or an upper respiratory infection. Here, we describe an unusual case of DLCBL involving the frontal sinus and ethmoid sinus and showing orbital invasion.
並列摘要
瀰漫性大B 細胞淋巴瘤是最常見的非何傑金氏癌之一，好發結節外的部位有胃,小腸、肝臟、軟組織及骨頭。在美國，鼻竇淋巴瘤占所有淋巴瘤約1.5 ~ 15%；在亞洲，占所有淋巴瘤約2.6 ~6.7%。在額竇的淋巴瘤更為罕見，目前僅有15 例額竇淋巴瘤。常見的症狀有眼部不適，流鼻水，鼻塞，流鼻血及頭痛。由於症狀無特異性，故診斷鼻竇的瀰漫性大B細胞淋巴瘤相當困難，常誤診為鼻竇炎或上呼吸道感染。我們在此提出一個罕見的額竇瀰漫性大B 細胞淋巴瘤合併眼窩侵犯的個案報告。
延伸閱讀
- Luo, S. H., Kao, S. C. S., & Pan, C. S. (2003). 眼窩之單一纖維性腫瘤：病例報告. Journal of the Formosan Medical Association, 102(10), 726-728. https://doi.org/10.29828/JFMA.200310.0010
- Lee, L. S., Chen, C. C., Lin, C. C., Chang, H. C., & Liou, S. W. (2011). 眼窩假性腫瘤引發視網膜中央動脈阻塞－病例報告. 中華民國眼科醫學會雜誌, 50(2), 387-393. https://doi.org/10.30048/ACTASOS.201106.0027
- Chu, S. W., & Chang, C. H. (2010). 上顎竇週邊原生性神經外胚瘤伴隨眼窩侵犯－病例報告. 中華民國眼科醫學會雜誌, 49(3), 359-364. https://doi.org/10.30048/ACTASOS.201009.0015
- Yang, C. I., & Ma, L. (2000). 眼窩淋巴血管瘤合併大量快速反覆性出血之治療. 中華民國眼科醫學會雜誌, 39(2), 219-223. https://doi.org/10.30048/ACTASOS.200006.0013
- 瞿錦春、許紋銘、吳俊昇、黃千芳、蔡三章、劉榮宏（1992）。視網膜母細胞瘤合併眼窩侵犯。中華民國眼科醫學會雜誌，31(1)，63-68。https://doi.org/10.30048/ACTASOS.199203.0012