论文部分内容阅读
目的:提高对非霍奇金淋巴瘤及原发性肾细胞癌共存现象的认识,探讨两者之间的关系。方法:回顾性分析1例非霍奇金淋巴瘤合并原发性肾细胞癌伴骨转移的诊治经过,结合文献进行分析。结果:本例患者因“确诊非霍奇金淋巴瘤IV期B组7年、发现右小腿包块并疼痛3个月”来我院复诊,行右小腿包块穿刺活检提示右胫骨透明细胞癌,腹部CT发现左肾包块,遂怀疑左肾细胞癌伴右胫骨转移,行根治性左肾切除术,病理结果证实左肾透明细胞癌。术后行放、化疗,后因全身多处转移而死亡。结论:非霍奇金淋巴瘤及原发性肾细胞癌共存现象临床少见,应提高对其认识,亦需更多的研究来阐明两者之间的关系,在非霍奇金淋巴瘤患者随访中应警惕多原发恶性肿瘤的发生。
OBJECTIVE: To raise awareness of the coexistence of non-Hodgkin’s lymphoma and primary renal cell carcinoma and to explore the relationship between the two. Methods: A retrospective analysis of one case of non-Hodgkin’s lymphoma with primary renal cell carcinoma with bone metastasis diagnosis and treatment, combined with the literature analysis. Results: The patients were diagnosed with non-Hodgkin’s lymphoma IV group B for 7 years and found that the right leg mass and pain for 3 months "to our hospital referral, line right leg mass biopsy prompt right tibia transparent Cell carcinoma, abdominal CT found that the left renal mass, then suspected left renal cell carcinoma with right tibia metastasis, radical nephrectomy, pathology confirmed the left renal clear cell carcinoma. Postoperative radiotherapy and chemotherapy, after multiple systemic death and death. Conclusions: The coexistence of non-Hodgkin’s lymphoma and primary renal cell carcinoma is rare and should be recognized. More research is needed to clarify the relationship between the two. In patients with non-Hodgkin’s lymphoma Should be alert to the occurrence of multiple primary malignancies.