Localized, Splenic, Diffuse Large B-Cell Lymphoma Presenting with Hypersplenism: Risk and Benefit of Splenectomy

被引：11

作者：

Iriyama, Noriyoshi ^{[1
]}

Horikoshi, Akira ^{[1
]}

Hatta, Yoshihiro ^{[2
]}

Kobayashi, Yujin ^{[2
]}

Sawada, Shigemasa ^{[1
]}

Takeuchi, Jin ^{[2
]}

机构：

[1] Nihon Univ, Sch Med, Dept Internal Med, Nerima Hikarigaoka Hosp, Tokyo, Japan

[2] Nihon Univ, Sch Med, Itabashi Hosp, Dept Hematol & Rheumatol, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2010年 / 49卷 / 11期

关键词：

splenic diffuse large B-cell lymphoma; splenectomy; hypersplenism; high mortality; NON-HODGKINS-LYMPHOMA; SPLEEN;

D O I：

10.2169/internalmedicine.49.3228

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Herein we report a case of a localized, massive, diffuse large B-cell splenic lymphoma diagnosed by splenectomy. A 57-year-old man complaining of weight loss and abdominal pain, was admitted to our hospital. Enhanced computed tomography scanning showed an irregularly enhanced effect in the spleen suggesting a diffuse splenic tumor. Splenectomy was done and the operation progressed without severe complications. The resected spleen weighed 3,500 g. After the operation, the patient recovered from the pancytopenia and pathology diagnosed diffuse large B-cell lymphoma. Standard CHOP plus rituximab chemotherapy was given. Complete remission has continued for 30 months.

引用

页码：1027 / 1030

页数：4

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