以不明原因发热为主要表现的横纹肌淋巴瘤1例报告并文献回顾  

Muscle tissue lymphoma presenting only with fever of unknown origin: a case report and literature review

作　　者：申晓东[1] 陈歆[1] 肖红菊[1] 刘刚[1] 翟永志[1] 徐白萱[2] 石怀银[3] 黎檀实[1] 朱海燕[1] 

机构地区：[1]解放军总医院急诊科,北京100853 [2]解放军总医院核医学科,北京100853 [3]解放军总医院病理科,北京100853

出　　处：《南方医科大学学报》2015年第6期927-930,共4页Journal of Southern Medical University

基　　金：国家自然科学基金(30900543);北京市自然科学基金资助项目(7152136);解放军总医院临床扶持基金(2013FC-TSYS-1028);解放军总医院苗圃基金面上课题(14KMM49)~~

摘　　要：淋巴瘤是免疫系统恶性肿瘤之一,其中结外淋巴瘤患者常缺乏典型症状及阳性的辅助检查结果,部分病例仅以发热为主要表现。对于表现为长期发热(病程>3周)的淋巴瘤患者,其发热症状的特点可以为疾病的诊断提供线索,如起热时间、热型、药物反应等特异性表现对于明确诊断具有重要作用,尤其早期、罕见病例。应用不明原因发热的诊断思维,可以提高此类淋巴瘤患者的诊断效率,值得深入探讨。Extra- nodal malignant lymphoma is often characterized by a lack of typical symptoms and positive results of auxiliary examinations, which make diagnosis difficult. In some cases, fever can be the only clinical manifestation. For the lymphoma patients presenting with persistent fever with a duration over 3 weeks, characteristics of fever including time of fever attack, fever type and effects of drugs may have significant value in the diagnosis, especially in the early stage of the disease or in rare cases.

关 键 词：不明原因发热 淋巴瘤 诊断思维 

分 类 号：R733.1[医药卫生—肿瘤]