论文部分内容阅读
目的:探讨淋巴瘤肌肉侵犯的临床特点。方法:报道1例肌肉病理确诊为淋巴瘤合并肌肉侵犯患者,对其临床、肌肉MRI表现和肌肉活检病理结果结合复习文献予以分析,总结淋巴瘤肌肉侵犯的临床特点。结果:淋巴瘤肌肉侵犯发生率较低,主要表现为受累肌肉肿块、疼痛和无力。MRI中可表现为局部肿块或弥漫性肿大及异常信号。肌肉活检及免疫组化有助于与肌炎鉴别和淋巴瘤的分型。以肌肉侵犯为主要表现的淋巴瘤化疗以CHOP方案为主,预后较好。结论:淋巴瘤肌肉侵犯可引起包括肢带综合征在内的肌病表现,有肌肉肿块或无力症状以及相应MRI表现的病例应考虑淋巴瘤肌肉侵犯可能。
Objective: To investigate the clinical characteristics of lymphoma muscle invasion. Methods: One case of muscular pathology was diagnosed as lymphomas complicated by muscle invasion. Clinical, muscle MRI findings and muscle biopsy findings were reviewed. The clinical features of muscle invasion were summarized. Results: The incidence of muscular invasion of lymphoma is low, mainly manifested as involvement of muscle mass, pain and weakness. MRI can be expressed as local mass or diffuse swelling and abnormal signals. Muscle biopsy and immunohistochemistry contribute to the identification of myositis and the classification of lymphoma. The main manifestation of muscle invasion of lymphoma chemotherapy CHOP program based, the prognosis is good. CONCLUSIONS: Lymphoma muscle involvement can cause myopathy manifestations including limb-band syndrome. Patients with muscle mass or weakness and corresponding MRI findings should consider the possibility of muscle invasion by lymphoma.