Abstract

目的 提高对原发脾脏CD5和CD43阳性弥漫大B细胞淋巴瘤的认识。 方法 回顾性分析莆田学院附属医院收治的2例原发脾脏CD5和CD43阳性弥漫大B细胞淋巴瘤患者的治疗情况,并复习相关文献。 结果 2例患者均以左上腹部闷痛不适就诊,全身浅表淋巴结均无肿大,均行脾切除术,术后病理及免疫组织化学证实为原发脾脏CD5和CD43阳性弥漫大B细胞淋巴瘤,予CHOP方案化疗后均复发,更改方案化疗无效,均在短期内死亡。 结论 原发脾脏CD5和CD43阳性弥漫大B细胞淋巴瘤较为罕见,临床表现不典型,具有高度侵袭性,预后差。

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