小肠及回盲部滤泡树突状细胞肉瘤1例报告及文献复习

doi:10.13481/j.1671-587x.20200431

吉林大学学报(医学版) ›› 2020, Vol. 46 ›› Issue (04): 858-862.doi: 10.13481/j.1671-587x.20200431

• 临床医学 • 上一篇

小肠及回盲部滤泡树突状细胞肉瘤1例报告及文献复习

周东奎¹, 鲁明骞¹, 冯雪松¹, 刘宇飞², 宋浩³, 徐亮⁴

1. 三峡大学第一临床医学院湖北省宜昌市中心人民医院肿瘤科, 湖北宜昌 443000;
2. 三峡大学第一临床医学院湖北省宜昌市中心人民医院病理科, 湖北宜昌 443000;
3. 三峡大学第一临床医学院湖北省宜昌市中心人民医院放射影像科, 湖北宜昌 443000;
4. 三峡大学第一临床医学院湖北省宜昌市中心人民医院超声科, 湖北宜昌 443000

收稿日期:2019-11-07 发布日期:2020-08-20
通讯作者: 鲁明骞,教授,主任医师,硕士研究生导师(Tel:0717-6486745,E-mail:lumingqian001@163.com) E-mail:lumingqian001@163.com
作者简介:周东奎(1995-),男,湖北省宜昌市人,在读医学硕士,主要从事肿瘤基础和临床方面的研究。
基金资助:
湖北省教育厅科学研究计划指导性项目资助课题（B2019018）

Follicular dendritic cell sarcoma of small intestine and ileocecal region: A case report and literature review

ZHOU Dongkui¹, LU Mingqian¹, FENG Xuesong¹, LIU Yufei², SONG Hao³, XU Liang⁴

1. Department of Oncology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
2. Department of Pathology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
3. Department of Radiology, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China;
4. Department of Ultrasound, Yichang Central People's Hospital, Hubei Province, First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China

Received:2019-11-07 Published:2020-08-20

摘要/Abstract

摘要： 目的：分析小肠及回盲部滤泡树突状细胞肉瘤（FDCS）患者的临床表现和诊断，提高临床医师对该病的认识。方法：收集1例小肠和回盲部FDCS患者的临床资料，并结合相关文献，分析小肠及回盲部FDCS的临床特点、诊断和治疗方法。结果：患者，女性，61岁，因下腹隐痛9 d、发现盆腔肿物5 d入院。子宫及附件彩超，盆腔偏右侧低回声包块，考虑恶性肿瘤可能性大。腹部增强CT检查，右下腹部-盆腔新生物伴周围种植转移，淋巴结增大。子宫及附件增强MRI，右侧下腹部-盆腔肿块、回盲区结节，考虑恶性肿瘤。患者行手术治疗切除肿物，术后病理诊断为小肠及回盲部FDCS。患者术后未接受放、化疗，好转出院。结论：FDCS是一种临床上少见的恶性肿瘤，无特异的影像学表现，手术切除是首选的治疗方式，病理检查和免疫组织化学检测是诊断本病的金标准。FDCS患者术后应定期随访。

关键词: 滤泡树突状肉瘤, 小肠, 回盲部, 计算机断层扫描, 磁共振成像

Abstract: Objective: To analyze the clinical features and diagnosis of the patient with follicular dendritic cell sarcoma(FDCS)in the small intestine and ileocecal region, and to improve the clinicians' awareness of the disease. Methods: The clinical materials of a patient with FDCS in the small intestine and ileocecal region were collected,and the clinical features, diagnosis and treatment were analyzed in combination with the relevant literatures. Results: A 61-year-old woman was admitted to hospital because of dull pain in the lower abdomen for 9 d and discovery of pelvic mass for 5 d.The result of color Doppler of uterus and appendages showed the low echo package in the right side of pelvic cavity, and malignant tumor was highly likely. The abdominal enhancement CT results showed the right lower abdomen-pelvic neoplasm accompanying with implantation metastasis around, and the lymph nodes were enlarged. The results of uterus and attachment enhanced MRI of ulterus and appendages showed the right lower abdomen-pelvic lumpsa and the ileocecal region nodules, and malignant tumor was considered. The patient underwent surgical treatment to remove the tumor completely, and the postoperative pathological diagnosis was FDCS in the small intestine and ileocecal region. The patient did not receive radiotherapy or chemotherapy after operation, and then improved and discharged. Conclusion: FDCS is a rare clinical malignant tumor without specific imaging findings. Surgical resection is the first choice of treatment. The pathological diagnosis and immunohistonchemistry are the golden standard for the diagnosis of FDCS. The FDCS patients should be given regular follow-up after operation.

Key words: follicular dendritic cell sarcoma, small intestine, ileocecal region, computed tomography, magnetic resonance imaging

中图分类号:

R735.3

周东奎, 鲁明骞, 冯雪松, 刘宇飞, 宋浩, 徐亮. 小肠及回盲部滤泡树突状细胞肉瘤1例报告及文献复习[J]. 吉林大学学报(医学版), 2020, 46(04): 858-862.

ZHOU Dongkui, LU Mingqian, FENG Xuesong, LIU Yufei, SONG Hao, XU Liang. Follicular dendritic cell sarcoma of small intestine and ileocecal region: A case report and literature review[J]. Journal of Jilin University(Medicine Edition), 2020, 46(04): 858-862.

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小肠及回盲部滤泡树突状细胞肉瘤1例报告及文献复习

Follicular dendritic cell sarcoma of small intestine and ileocecal region: A case report and literature review

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