Nodular splenic immunocytoma.

L Balázs, L István, E Marton, L Kádas, G Kelényi
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Abstract

In a 34-year-old woman a non-Hodgkin malignant lymphoma with extreme splenomegaly and monoclonal IgM paraproteinaemia was seen. The removed spleen and splenic hilar lymph glands showed a nodular centroblastic-centrocytic malignant lymphoma with large numbers of plasmocytoid cells containing monotypical (monoclonal) IgM-kappa type immunoglobulin. The case represents a borderline non-Hodgkin malignant lymphoma with features of a follicular tumour and an immunocytoma. The appearance of peculiar intracytoplasmic inclusions would support this assumption. Therapeutic measures (splenectomy and/or cytostatic treatment) and prognostic features (nodularity of the tumour) are discussed.

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结节性脾免疫细胞瘤。
一例34岁女性非霍奇金恶性淋巴瘤伴脾肿大和单克隆IgM副蛋白血症。切除的脾脏和脾门淋巴结显示结节性中心细胞-中心细胞恶性淋巴瘤,伴大量含有单克隆IgM-kappa型免疫球蛋白的浆细胞。本病例为交界性非霍奇金恶性淋巴瘤,具有滤泡性肿瘤和免疫细胞瘤的特征。胞浆内特有包涵体的出现支持了这一假设。讨论了治疗措施(脾切除和/或细胞抑制治疗)和预后特征(肿瘤结节性)。
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