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原发性肾上腺淋巴瘤的诊断与临床处理

邓建华 李汉忠

邓建华, 李汉忠. 原发性肾上腺淋巴瘤的诊断与临床处理[J]. 协和医学杂志, 2020, 11(1): 91-95. doi: 10.3969/j.issn.1674-9081.20170164
引用本文: 邓建华, 李汉忠. 原发性肾上腺淋巴瘤的诊断与临床处理[J]. 协和医学杂志, 2020, 11(1): 91-95. doi: 10.3969/j.issn.1674-9081.20170164
Jian-hua DENG, Han-zhong LI. Diagnosis and Clinical Treatment of Primary Adrenal Lymphoma[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 91-95. doi: 10.3969/j.issn.1674-9081.20170164
Citation: Jian-hua DENG, Han-zhong LI. Diagnosis and Clinical Treatment of Primary Adrenal Lymphoma[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(1): 91-95. doi: 10.3969/j.issn.1674-9081.20170164

原发性肾上腺淋巴瘤的诊断与临床处理

doi: 10.3969/j.issn.1674-9081.20170164
基金项目: 

中国医学科学院医学与健康创新工程 2017-I2M-1-001

详细信息
    通讯作者:

    李汉忠 电话:010-69156035, E-mail:lihzhpumch@163.com

  • 中图分类号: R736

Diagnosis and Clinical Treatment of Primary Adrenal Lymphoma

More Information
  • 摘要: 原发性肾上腺淋巴瘤(primary adrenal lymphoma, PAL)临床表现不典型, 多数患者存在局部疼痛或全身发热、消瘦症状, 在双侧受累患者中肾上腺皮质功能不全很常见, 但仅少数患者进行全面系统的检查。正电子发射断层扫描/计算机体层成像是定性定位诊断这类肾上腺肿瘤的有效手段, 磁共振成像用来区别肾上腺淋巴瘤与皮质癌尚有待更多研究证实。对于PAL的治疗尚需进一步研究, 以对此类患者制定最佳的诊疗方案。目前, 尚不清楚利妥昔单克隆抗体联合CHOP方案(环磷酰胺+阿霉素+长春新碱+强的松)治疗高危侵袭性PAL患者是否可提高患者完全反应率。病变早期, 尤其是在肾上腺皮质功能不全出现之前诊断PAL, 有助于减少患者的发病率和死亡率。
    利益冲突  无
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出版历程
  • 收稿日期:  2019-05-18
  • 刊出日期:  2020-01-30

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