摘要
A 64-year-old male had diffuse large B-cell lymphoma of the right testis and received right orchiectomy (2009), and then chemotherapy and radiotherapy and achieved complete remission. Recently, he complained of redness and skin rashes with left lower extremity swelling for 2 weeks. Cellulitis was suspected, but treatment with antibiotics had no effect. Sonogram showed subcutaneous edema without deep vein thrombosis. Tc-99m phytate lymphoscintigraphy showed dermal backflow, and lymphedema of the left lower leg. [18F]-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) showed left external iliac and inguinal lymph lymphadenopathy, and multiple subcutaneous lesions in the left lower leg. Skin excisional biopsy showed diffuse large B-cell lymphoma. The skin lesions and lymphedema subsided after chemotherapy.
並列摘要
一位六十四歲男性，患有右側睪丸之瀰漫性大B細胞淋巴癌，於2009年接受右側睪丸切除，接著化學治療及放射治療，達完全緩解。最近兩週，患者左側下肢紅腫及皮疹，懷疑蜂窩性組織炎，但抗生素無效。超音波顯示皮下水腫但無深部靜脈栓塞。Tc-99m phytate淋巴閃爍攝影顯示真皮內淋巴逆流及左小腿淋巴水腫。去氧葡萄糖正子電腦斷層顯示左側外髂及腹股溝淋巴結及左小腿多處皮下病灶。皮膚切片顯示瀰漫性大B細胞淋巴癌，且化療後皮膚病灶及淋巴水腫消退。
延伸閱讀
- Liang, C. M., Wang, M. C., Chen, Y. J., Hung, C. H., & Hu, T. H. (2011). 原發性十二指腸黏膜相關淋巴組織淋巴瘤：一病例報告. 臺灣消化醫學雜誌, 28(3), 40-46. https://doi.org/10.6557/GJT.201109_28(3).0006
- Hsiao, Y. L., Tsai, T. F., Wu, J. T., & Hsiao, C. H. (2003). 皮膚之淋巴上皮腫樣表皮癌－病例報告－. 中華皮膚科醫學雜誌, 21(3), 264-267. https://doi.org/10.29784/DS.200309.0005
- Hsu, W. Y., Tzeng, W. S., & Wu, R. H. (2010). 淋巴管肌瘤增生症的淋巴攝影表現：病例報告. 中華放射線醫學雜誌, 35(3), 171-174. https://www.airitilibrary.com/Article/Detail?DocID=10188940-201009-201101130027-201101130027-171-174
- 吳俊明、李慶雲、黃立民、林凱信、謝貴雄、吳木榮（1990）。似淋巴綱狀腫瘤的播散性隱球菌症一病例報告。Acta Paediatrica Sinica，31(3)，196-201。https://www.airitilibrary.com/Article/Detail?DocID=00016578-199006-31-3-196-201-a
- Lin, H. J., Chiang, I. P., & Lin, C. T. (2002). 原發性結膜淋巴瘤－病例報告. 中華民國眼科醫學會雜誌, 41(3), 271-275. https://doi.org/10.30048/ACTASOS.200209.0009