Case Report: A rare case of CD20-positive T-cell large granular lymphocyte leukemia with renal cell carcinoma: a challenging diagnosis

Y. Jin, F. Ren, Shuyan Wang, Jin Xu, Ying-Hua Wu, Jin-fen Tang, Jianfeng Xu
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Abstract

Large granular lymphocytic leukemia (LGLL) is a clonal lymphoproliferative disease with a slow course and considerable difficulties in correct diagnosis and therapy. T-LGLL is the most prevalent subtype of LGLL, accounting for approximately 85%. T-LGLL co-existence with solid malignancies is relatively rare. CD20-positive T-cell neoplasm is a rare disease in clinics. In this study, we report a case of CD20-positive T-LGLL with renal cell carcinoma (RCC) that was eventually diagnosed by splenectomy and nephrectomy. The accumulation of cases will contribute to diagnosing and treating CD20-positive T-LGLL complicated with solid tumors.
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病例报告:一例罕见的cd20阳性t细胞大颗粒淋巴细胞白血病合并肾细胞癌:一个具有挑战性的诊断
大颗粒淋巴细胞白血病(LGLL)是一种克隆性淋巴细胞增生性疾病,病程缓慢,正确诊断和治疗相当困难。T-LGLL是LGLL中最常见的亚型,约占85%。T-LGLL与实体恶性肿瘤共存是相对罕见的。cd20阳性t细胞肿瘤是临床上罕见的疾病。在这项研究中,我们报告了一例cd20阳性T-LGLL合并肾细胞癌(RCC),最终通过脾切除术和肾切除术诊断。病例的积累将有助于cd20阳性T-LGLL合并实体瘤的诊断和治疗。
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