南昌大学学报(医学版)
南昌大學學報(醫學版)
남창대학학보(의학판)
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
4期
103-107
,共5页
周玉兰%李菲%纪德香%胥茜%李蒲%刘媛%黄瑞滨%伍世礼
週玉蘭%李菲%紀德香%胥茜%李蒲%劉媛%黃瑞濱%伍世禮
주옥란%리비%기덕향%서천%리포%류원%황서빈%오세례
外周T细胞淋巴瘤-非特指型%诊断%治疗%预后
外週T細胞淋巴瘤-非特指型%診斷%治療%預後
외주T세포림파류-비특지형%진단%치료%예후
peripheral T-cell lymphoma unspecified%diagnosis%treatment%prognosis
目的:报告2例外周 T细胞淋巴瘤-非特指型(peripheral T lymphocytes unspecified,PTCL-U)患者的临床、实验室指标及诊治和预后,以提高对该类疾病的认识。方法对2例PTCL-U患者的病例资料进行分析,并结合国内外相关文献进行复习。结果 PTCL-U临床特点为发热、淋巴结肿大,易侵犯肝、脾、骨髓、皮肤等结外部位和并发噬血细胞综合征。病情进展快,对化疗不敏感,2例均死亡。结论 PTCL-U恶性程度高,进展快,侵袭性强,预后极差,需提高对该病的识别,以期早期诊断和积极治疗。
目的:報告2例外週 T細胞淋巴瘤-非特指型(peripheral T lymphocytes unspecified,PTCL-U)患者的臨床、實驗室指標及診治和預後,以提高對該類疾病的認識。方法對2例PTCL-U患者的病例資料進行分析,併結閤國內外相關文獻進行複習。結果 PTCL-U臨床特點為髮熱、淋巴結腫大,易侵犯肝、脾、骨髓、皮膚等結外部位和併髮噬血細胞綜閤徵。病情進展快,對化療不敏感,2例均死亡。結論 PTCL-U噁性程度高,進展快,侵襲性彊,預後極差,需提高對該病的識彆,以期早期診斷和積極治療。
목적:보고2예외주 T세포림파류-비특지형(peripheral T lymphocytes unspecified,PTCL-U)환자적림상、실험실지표급진치화예후,이제고대해류질병적인식。방법대2례PTCL-U환자적병례자료진행분석,병결합국내외상관문헌진행복습。결과 PTCL-U림상특점위발열、림파결종대,역침범간、비、골수、피부등결외부위화병발서혈세포종합정。병정진전쾌,대화료불민감,2례균사망。결론 PTCL-U악성정도고,진전쾌,침습성강,예후겁차,수제고대해병적식별,이기조기진단화적겁치료。
Objective To report the clinical manifestations,laboratory parameters,treatment and prognosis of 2 cases of peripheral T-cell lymphoma unspecified(PTLC-U),and to improve our understanding of the disease.Methods The clinical data of 2 cases of PTLC-U were analyzed and the relevant literature was reviewed.Results PTLC-U was characterized by fever and lymphade-nectasis,and easily invaded the liver,spleen,bone marrow,skin and other extranodal sites.Fur-thermore,PTLC-U tended to be accompanied by hemophagocytic syndrome.These two patients had died due to fast disease progression and low chemotherapy sensitivity.Conclusion PTLC-U is associated with high grade malignancy,fast progression,high invasive potential and poor prog-nosis.Therefore,the identification of PTLC-U should be improved for the early diagnosis and ac-tive treatment of the disease.