原发性肾上腺淋巴瘤一例报告
摘要
<正>患者男,74岁,因"发热3周"于2014年5月25日入院。3周前无明显诱因出现发热,午后为主,体温37.5~38.5℃,伴头痛、乏力、周身酸懒、胸腹部不适,自行服用感冒药治疗,症状无明显改善。1周前外院考虑感染可能性大,先后给予阿奇霉素、莫西沙星、头孢曲松钠抗感染治疗,体温无明显改善。入院后生化检查提示低钠血症,血钠波动于119~130 mmol/L,住院后每日静脉补充10~15 g氯化钠,血钠仍低于正常水平且难以纠正。发病以来患者食欲欠佳,二便及睡眠可,体质量下降1.5 kg。查体:浅表淋巴结未触及肿大。心、肺、腹未见明显异常。下肢无浮肿。
引文
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[7]蔡蓉,史倩云,冯潇,等.肾上腺弥漫大B细胞淋巴瘤6例临床病理分析[J].临床与实验病理学杂志, 2016, 32:400-404.
[8] Kosari F, Shishehbor F, Saffar H, et al. PCR-based clonality analysis in diffuse large B-cell lymphoma using BIOMED-2 primers of IgH(FR3)on formalin-fixed paraffin-embedded tissuse[J]. Arch Iran Med, 2013, 16:526-529.
[2]李亚军,张悦,高硕,等.双侧肾上腺原发淋巴瘤一例[J].中华放射学杂志, 2007, 41:969-972.
[3]吴艳,谷伟军,窦京涛,等.肾上腺淋巴瘤临床特点及预后分析[J].解放军医学院学报, 2013, 34:964-966.
[4]周良平,彭卫军,丁建辉,等.原发性肾上腺淋巴瘤的CT和MRI特征[J].中华放射学杂志, 2009, 43:969-972.
[5]周建军,曾维新,周康荣,等.肾上腺淋巴瘤的影像学表现[J].实用放射学杂志, 2007, 23:1325-1327,1335.
[6] Kumar R, Xiu Y, Mavi A, et al. FDG-PET imaging in primary bilateral adrenal lymphoma:a case report and review of the literature[J].Clin Nucl Med, 2005, 30:222-230.
[7]蔡蓉,史倩云,冯潇,等.肾上腺弥漫大B细胞淋巴瘤6例临床病理分析[J].临床与实验病理学杂志, 2016, 32:400-404.
[8] Kosari F, Shishehbor F, Saffar H, et al. PCR-based clonality analysis in diffuse large B-cell lymphoma using BIOMED-2 primers of IgH(FR3)on formalin-fixed paraffin-embedded tissuse[J]. Arch Iran Med, 2013, 16:526-529.