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題名 | Intraventricular Lymphoma--A Case Report=腦室內淋巴瘤病例報告 |
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作者姓名(中文) | 羅貽琛; 張丞圭; 林烈生; 黃福昭; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 32:6 民88.11-12 |
頁次 | 頁278-281 |
分類號 | 416.291 |
關鍵詞 | 腦室淋巴瘤; Intracranial malignant lymphoma; Non-Hodgkin's lymphoma; Intraventricular tumor; |
語文 | 英文(English) |
中文摘要 | 淋巴瘤轉移至中樞神經系統並不常見,尤以腦室內之轉移更為罕見。根據以往記錄,僅有數個案例報告。續發性之淋巴瘤,常見於高惡性度淋巴瘤,腹膜後之病灶,骨髓或有浸潤,或免疫障礙病人。病理診斷需包括免疫性單株抗體染色。 本病案為一名72歲女性病患,在神智變化緊急情況下手術治療中發現。臨床上,腦室內腫瘤極難判別,需要配合電腦斷層掃描,腦核磁共振掃描及腦血管射影等鑑別診斷。本文提出病人治療過程,放射學檢查及文獻回顧。 |
英文摘要 | A 72 year-old lady suffered from consciousness deterioration. A preoperative computed tomography scan of the head revealed enhancing tumors in both lateral ventricles. Emergency operation was performed and a pathologic diagnosis of malignant lymphoma with diffuse large B cells was made. Abdominal CT was also performed and multiple enlarged lymph nodes were noted in the region of the left adrenal gland. The diagnosis of the central nervous system lesion was therefore intraventricular lymphoma. Unfortunately, the patient expired due to sepsis a few weeks after surgery. The pertinent literature regarding secondary central nervous system lymphoma is reviewed. |
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