Diffuse large B-cell lymphoma of the esophagus and cardia complicated with bronchogenic carcinoma: a case report and literature review
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摘要:
目的 探讨食管贲门弥漫性大B细胞淋巴瘤合并原发性支气管肺癌的诊治过程，分析其容易误诊的原因，为临床提供借鉴。 方法回顾性分析1例食管贲门弥漫性大B细胞淋巴瘤合并原发性支气管肺癌患者的病例资料及诊治过程，并结合相关文献进行分析。 结果患者入院后完善胸腹部增强CT、胃镜检查，考虑为贲门恶性肿瘤侵及食管、肺继发恶性肿瘤，遂行支气管镜检查，活检结果提示贲门食管部弥漫性大B细胞淋巴瘤合并原发性支气管肺癌。 结论食管弥漫性大B细胞淋巴瘤合并支气管肺癌时极易形成食管气管瘘，严重危及患者生命，故发现食管溃疡性病变合并肺部占位性病变时应行食管及肺部病理活检，以明确诊断，制定下一步治疗方案。 -
关键词:
- 食管 /
- 贲门 /
- 弥漫性大B细胞淋巴瘤 /
- 非霍奇金淋巴瘤 /
- 支气管肺癌
Abstract:Objective To investigate the diagnosis and treatment of diffuse large B-cell lymphoma of esophagus and cardia complicated with primary bronchogenic carcinoma, and analyze the causes of misdiagnosis, provide reference for clinical practice. Methods The clinical data, diagnosis and treatment of a patient with diffuse large B-cell lymphoma of esophagus and cardia complicated with primary bronchogenic carcinoma were analyzed retrospectively. The related literatures were analyzed. Results After admission, enhanced CT and gastroscopy were performed in the chest and abdomen. The bronchoscopy was performed for the secondary malignant tumor of esophagus and lung involved by cardiac malignant tumor. The biopsy results suggested that diffuse large B-cell lymphoma of the cardia and esophagus was associated with primary bronchogenic carcinoma. Conclusion Diffuse large B-cell lymphoma complicated with bronchogenic carcinoma is easy to form esophagotracheal fistula, which seriously endangers the life of the patients. Therefore, pathological biopsy of esophagus and lung should be performed when esophageal ulcerative lesions complicated with pulmonary space-occupying lesions found. It can help make a definite diagnosis and make the next treatment plan. -
Key words:
- esophagus /
- cardia /
- diffuse large B cell lymphoma /
- non hodgkin lymphoma /
- bronchogenic carcinoma
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