摘要
目的探讨肾脏原发性恶性淋巴瘤的临床、病理特点和诊治方法。方法报告1例肾脏原发性恶性淋巴瘤的临床资料,结合文献复习讨论。患者,女,50岁,主诉为左侧腰部不适2个月。CT示左肾中下极7·0cm×6·5cm软组织影,密度均匀。结果行根治性肾切除。术后病理诊断为非霍奇金弥漫性B细胞淋巴瘤。术后行CHOP方案化疗6疗程,随访29个月,患者无瘤存活。结论肾脏原发性恶性淋巴瘤临床罕见,确诊需依赖病理组织学检查,治疗方法主要是单纯化疗或根治性肾切除加化疗和/或放疗。
Objective To discuss the clinicopathological characteristics of primary renal lymphoma. Methods The clinicopathological data of one case of primary renal lymphoma were reviewed. The patient was a 50 - year - old woman presenting with the major complaint of left flank malaise for 2 months. CT scan showed a soft tissue of 7.0cm × 6.5cm with homogeneous density in the .-aiddle - lower pole of left kidney. Results The patient underwent radical nephrectomy. The pathological type was non - Hodgkin diffusive B cell lymphoma. Postoperatively,6 cycles of CHOP chemotherapy were administered. Follow - up was 29 months. The patient was reported to be alive and tumor -free. Conclusion The primary renal lymphoma is rare in clinic. The diagnosis can only be made by pathological examination. The main therapy for primary renal lymphoma is chemotherapy alone or radical nephrectomy with chemotherapy radiation therapy.
出处
《医药论坛杂志》
2007年第11期58-59,共2页
Journal of Medical Forum
关键词
肾肿瘤
淋巴瘤
病理学
Kidney neoplasms
Lymphoma
Pathology
