以多发软组织炎症为首发表现的淋巴瘤1例  

Multiple soft tissue inflammation as the first symptom in lymphoma:A case report

作　　者：简娟 贺志飚[1,2] JIAN Juan;HE Zhibiao(Department of Emergency Medicine,Second Xiangya Hospital,Central South University,Changsha 410011;Emergency Medicine and Difficult Diseases Institute,Second Xiangya Hospital,Central South University,Changsha 410011,China)

机构地区：[1]中南大学湘雅二医院急诊医学科,长沙410011 [2]中南大学急诊医学及疑难疾病研究所,长沙410011

出　　处：《中南大学学报（医学版）》2020年第8期1005-1008,共4页Journal of Central South University ：Medical Science

摘　　要：淋巴瘤的临床表现多样,常有不典型表现而导致诊断困难,甚至误诊。1例29岁的男性患者,因“左耳流脓1月余,右眼肿胀伴发热20 d”入院,外院诊断为“全身多发软组织感染”,予以头孢美唑抗感染、地塞米松抗炎治疗,病情无好转,转入中南大学湘雅二医院后行全身多处软组织活检,诊断为T细胞非霍奇金淋巴瘤,予以奥沙利铂+吉西他滨方案化学治疗。青壮年人群出现不明原因感染时应高度警惕淋巴瘤的可能,多次多处的组织活检对明确诊断至关重要。The clinical manifestations of lymphoma are various,and the atypical manifestations lead to difficult diagnosis and misdiagnosis.A 29-year-old male patient was admitted to the hospital due to the symptoms of“three months of left ear purulence,20 days of right eye swelling and fever”.He was diagnosed as“multiple soft tissue infection”in the other hospital.The patient was treated with cefmetazole for anti-infection and dexamethasone for anti-inflammation.His condition has not improved.After being transferred to our hospital,he underwent multiple soft tissue biopsies and was diagnosed as T-cell non-Hodgkin’s lymphoma.He was treated with oxaliplatin combined with gemcitabine.The experience of this case suggests that young people should be highly aware of the possibility of lymphoma when they have unexplained infection.Multiple tissue biopsies are very important for clear diagnosis.

关 键 词：淋巴瘤 软组织炎症 活检 

分 类 号：R733.1[医药卫生—肿瘤]