结外弥漫性大b细胞淋巴瘤1例及手术并发症

Ralitsa G. Ilieva, D. Todorieva-Todorova, I. G. Hristov, Vasilena P. Tsintsarska
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引用次数: 0

摘要

弥漫性大b细胞淋巴瘤(DLBCL)是成人中最常见的非霍奇金淋巴瘤之一。在大多数情况下,通过应用常规免疫化疗(利妥昔单抗联合环磷酰胺、阿霉素、长春新碱、甲基强的松龙或R-CHOP)可以获得完全缓解。其效果取决于某些危险因素、淋巴瘤的细胞起源以及在一定程度上确定结外受累时的定位。我们提出一个病例的病人与DLBCL的小肠和非特异性临床表现。采用标准R-CHOP治疗后,患者未达到疾病反应,并记录了胃肠道(GIT)并发症。
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Clinical Case of a Patient with Extranodal Diffuse Large B-Cell Lymphoma and Surgical Complications
Summary Diffuse large B-cell lymphoma (DLBCL) is one of the most common types of non-Hodgkin lymphoma in adults. In most of the cases a complete remission is possible to obtain by applying conventional immunochemotherapy (rituximab in combination with cyclophosphamide, doxorubicin, vincristine, methylprednisolone or R-CHOP). Its effect depends on some risk factors, cellular origin of the lymphoma and to some extend – the localization when extranodal involvement is confirmed. We present the case of a patient with DLBCL of small intestine and non-specific clinical manifestation. Following treatment with standard therapy R-CHOP patient fail to achieve disease response and gastrointestinal track (GIT) complications were registered.
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