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題名 | Small Lymphocytic Lymphoma of the Both Auricles--Case Report=雙耳廓小型淋巴球淋巴瘤--病例報告 |
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作者 | 陳文遠; 黃國衛; 莊世松; 鄭良信; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷期 | 33:2 1998.04[民87.04] |
頁次 | 頁86-90 |
分類號 | 416.82 |
關鍵詞 | 小型淋巴球淋巴瘤; 耳廓; Small lymphocytic lymphoma; Auricle; |
語文 | 英文(English) |
中文摘要 | 耳廓兩側同時有小型淋巴球淋巴瘤在臨床上是極為罕見的。本院於1996年經驗1 例,患者為65歲男性,主訴3年來兩側耳廓有緩慢變大的小結節。身體檢查發現,左側耳 輪有兩顆大小約1.2 ×0.8cm,無痛性的紅色小結節;右側也有一顆大小約1.0 ×0.5cm,無 痛性的紅色小結節。頸部無淋巴結腫大現象。 經手術切除,病理報告為小型淋巴球淋巴瘤。病人轉診至腫瘤科做進一步評估,發現已 經有骨髓侵犯,但是病人拒絕接受任何治療。七個月後,發現後頸部有淋巴結腫大,後來證 明為轉移的小型淋巴球淋巴瘤。病人目前尚在門診追蹤。 |
英文摘要 | We reported a rare case of small lymphocytic lymphoma involving auricles bilaterally in a 65 years old male during our out-patient clinic in December, 1996. This patient has noticed painless and erythematous nodules on both auricles for three years. On examination, two nodules, each measured 1.2cm×0.8cm, were found at his left helix and a nodule of 1.0cm ×0.5cm was noted at his right helix. No concurrent lymphoadenopathy was noted. Excisional biopsy of all nodules on both auricles were performed and the histopathology was proven small lymphocytic lymphoma. Thus, the patient was referred to medical oncologist for further evaluation. Bone marrow involvement was noted when bone marrow aspiration was performed later. Any form of treatments was refused by the patient and hence he was followed up regularly at our out-patient clinic. Seven months later, lymphoadenopathy at the posterior neck was found and aspiration biopsy of the enlarged lymph node was proven metastasis of small lymphocytic lymphoma. The patient is still followed up regularly at our out-patient clinic.(J Otolaryngol Soc ROC 1998; 33:184-188.) |
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