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在获得性免疫缺陷综合征(AIDS)相关淋巴瘤中,肿瘤大部分发生在脑和胃肠道,而直肠很少累及,作者报告 AIDS 的一种新表现:原发性直肠淋巴瘤。4例均为男性同性恋者,年龄分别为27、33、34和44岁。临床表现为直肠脓肿、肛周溃烂、肛门瘘管、肛门湿疣和复发性疱疹。仅1例有腋淋巴结轻度肿大,2例有轻度贫血和白细胞、血小板减少,4例均无肝脾肿大。在进行直肠、肛门局部治疗时,取组织标本作病理检查,同时测定血清人免疫缺陷病毒
In acquired immunodeficiency syndrome (AIDS) -related lymphoma, most of the tumors occur in the brain and gastrointestinal tract, while the rectum is rarely involved. The authors report a new manifestation of AIDS: primary rectal lymphoma. 4 cases were gay men, the ages were 27,33,34 and 44 years old. Clinical manifestations of rectal abscess, perianal ulceration, anal fistula, anal warts and recurrent herpes. Only 1 case had mild axillary lymph node enlargement, 2 cases had mild anemia and white blood cells, thrombocytopenia, 4 cases had no hepatosplenomegaly. In rectal and anal local treatment, take tissue samples for pathological examination, simultaneous determination of serum human immunodeficiency virus