Novel Hepatosplenic T-Cell Lymphoma in Young Adult with Sickle Cell Disease

Ghazal Ma
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Abstract

Hepatospenic T-cell Lymphoma (HSTL) is rare & an aggressive type of extranodal lymphoma, the disease represent 1-2% of all peripheral T-cell lymphoma [1]. Its incidence might be underestimated, because the disease may mimic other conditions & the diagnosis is sometimes difficult to be established. It has been seen in patients receiving long-term immunosuppressive therapy, following AML or EBV positive lymphoproliferative disorders or during pregnancy. Several cases were reported recently in patients with crohns disease treated with azathioprine & anti-tumor necrosis factor agent infliximab. We present here peculiar scenario of young male adult known case of sickle cell disease patient whose been diagnosed with gammadelta-T-cell lymphoma, after quite long history of unexplained organomegaly & fever.
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青壮年镰状细胞病患者的新型肝脾t细胞淋巴瘤
肝脾性t细胞淋巴瘤(HSTL)是一种罕见的侵袭性结外淋巴瘤,占所有外周t细胞淋巴瘤的1-2%[1]。该病的发病率可能被低估,因为该病可能与其他病症相似,而且有时难以确诊。它见于接受长期免疫抑制治疗的患者,AML或EBV阳性淋巴细胞增生性疾病后或怀孕期间。最近报道了几例用硫唑嘌呤联合抗肿瘤坏死因子药物英夫利昔单抗治疗的克罗恩病患者。我们在此报告一例已知的年轻男性成人镰状细胞病患者,在相当长时间不明原因的器官肿大和发烧后,被诊断为γ - t细胞淋巴瘤。
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