肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤1例

肝癌电子杂志 ›› 2025, Vol. 12 ›› Issue (1): 30-32.

肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤1例

王梓悦, 朱颐楠, 路婉晨, 席海燕, 林旭勇^*, 宋艳

中国医科大学附属第一医院病理科,沈阳 110002

收稿日期:2025-01-23 出版日期:2025-03-31 发布日期:2025-05-08
通讯作者: ^*林旭勇,E-mail:linxuyong@hotmail.com

Primary invasive B-cell lymphoma involving anastomotic hemangioma in the liver: a case report

Wang Ziyue, Zhu Yinan, Lu Wanchen, Xi Haiyan, Lin Xuyong, Song Yan

Received:2025-01-23 Online:2025-03-31 Published:2025-05-08

摘要/Abstract

摘要： 肝脏原发侵袭性B细胞淋巴瘤与肝脏吻合状血管瘤在临床上均较为少见。肝脏原发淋巴瘤虽为恶性,但发病率较低,很容易在诊断过程中被忽略,从而导致患者的预后不良。侵袭性B细胞淋巴瘤可发生于淋巴结和结外组织,且生发中心外来源者比非生发中心来源者预后差。该类疾病对化疗敏感,R-CHOP方案[CD20单克隆抗体（R）与环磷酰胺+多柔比星或表柔比星+长春新碱+泼尼松（CHOP）合用]可显著改善患者生存情况。肝血管瘤为良性,大部分属于海绵状;而吻合状血管瘤属于毛细血管瘤的一种亚型,较为罕见,且在病理诊断中如病理医师缺乏经验,可能误诊为血管肉瘤。吻合状血管瘤最初见于肾脏及睾丸,较少的病例也可发生于肝脏。目前肝脏原发B细胞淋巴瘤累及血管瘤的相关病例仅报道3例,诊断过程中如遇到该类疾病时容易漏诊或误诊。本文报道1例肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤病例的诊疗经过,旨在为临床诊断该类疾病时提供一些信息参考,尽可能减少误诊或漏诊,从而最大程度延长患者生存期,有效提高患者生存质量。

王梓悦, 朱颐楠, 路婉晨, 席海燕, 林旭勇, 宋艳. 肝脏原发侵袭性B细胞淋巴瘤累及吻合状血管瘤1例[J]. 肝癌电子杂志, 2025, 12(1): 30-32.

Wang Ziyue, Zhu Yinan, Lu Wanchen, Xi Haiyan, Lin Xuyong, Song Yan. Primary invasive B-cell lymphoma involving anastomotic hemangioma in the liver: a case report[J]. Electronic Journal of Liver Tumor, 2025, 12(1): 30-32.

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