中医治疗多原发性肺MALT淋巴瘤1例
Treatment of 1 case of multiple primary lung MALT lymphoma by Chinese medicine
扫 描 看 全 文
1.浙江中医药大学附属丽水市中医院肺病科,浙江 丽水 323000
扫 描 看 全 文
周敏华, 刘忠达. 中医治疗多原发性肺MALT淋巴瘤1例[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200233&Fpath=home&index=0
ZHOU Minhua, LIU Zhongda. Treatment of 1 case of multiple primary lung MALT lymphoma by Chinese medicine[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200233&Fpath=home&index=0
周敏华, 刘忠达. 中医治疗多原发性肺MALT淋巴瘤1例[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200233&Fpath=home&index=0 DOI:
ZHOU Minhua, LIU Zhongda. Treatment of 1 case of multiple primary lung MALT lymphoma by Chinese medicine[DB/OL].(2023-10-28)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43200233&Fpath=home&index=0 DOI:
病史摘要,2,患者2018年于当地医院体检发现两肺多发结节,无咳嗽咳痰、胸闷气急、咯血等不适,于门诊定期复查胸部CT。2020年12月因复查胸部CT提示右肺下叶病灶增大,于2020年12月8日行胸腔镜下右下肺楔形切除术,术后病理诊断:(右下肺)符合粘膜相关淋巴组织结外边缘区B细胞淋巴瘤。术后患者恢复可,后于门诊随诊,无明显呼吸道症状及不适,2021年7月31日患者复查胸部CT提示:1、两肺多发实性结节(对比2020年1月12日胸部CT结节增大),结合临床考虑肺粘膜相关淋巴瘤可能性大(最大者直径12mm位于左肺上叶,边界清,密度均匀,CT值33HU,增强扫描可见轻度强化)。患者拒绝手术、化疗等进一步诊治,就诊我院门诊要求中药治疗。刻下症:患者稍感乏力,口干,偶有少许咳嗽,以干咳为主,无明显咳痰,舌质红,舌下脉络迂曲,舌尖及舌边红甚,苔薄白,脉弦数。中医诊断 肺积(阴虚毒盛证)西医诊断 多原发性肺MALT淋巴瘤干预措施 中医治以益气养阴,解毒散结,活血化瘀之法,自拟养阴清肺汤加减治疗。疗效转归 2021年11月8日复查胸部CT左肺上叶结节病灶明显缩小,疗效好转。
Summary of case history ,The patient was found to have multiple nodules in both lungs on physical examination at the local hospital in 2018, without discomfort such as coughing and sputum, chest tightness and shortness of breath, hemoptysis, etc.and underwent regular Chest CT re-examination at the outpatient clinic. Re-examination of the chest CT in Dec,2020,the following findings were observed: An enlarged lesion in the lower lobe of the right lung, a Thoracoscopic wedge resection of the right lower lung was performed on Aug,12, 2020,after the surgical procedure, the patient recovered properly and followed-ups at the outpatient clinic showed no obvious respiratory symptoms and discomfort. On 31 July 2021, the patient's chest CT was re-examined, findings were as follows: 1. Multiple solid nodules in both lungs (compared with the enlarged nodules in the chest CT of 12 January 2020), and high risk of mucosa-associated lymphoma in the lung was considered clinically (the largest one was 12 mm in diameter in the upper lobe of the left lung, with clear borders, uniform density, CT value 33 HU The patient refused further surgery and chemotherapy.) The patient refused further treatment such as surgery and chemotherapy and consulted our outpatient clinic for herbal treatment. The patient felt slightly weak, had dry mouth, occasional cough, mainly dry cough, no obvious coughing sputum, red tongue, tortuous veins under the tongue, red tip and edge of the tongue, thin white fur, strong pulse.,TCM diagnosis, Lung stagnation (Yin deficiency and toxicity),Western medicine diagnosis, Multiple primary lung MALT lymphoma,Intervention, Therapeutic improvement,Therapeutic methods, Chinese medicine treatment was based on the method of improving qi and nourishing yin, detoxifying,Clinical outcomes, On 8 November 2021, chest CT was re-examined and the left upper lobe nodule lesion was significantly reduced and the therapeutic effect was improved
多原发性肺MALT淋巴瘤中医
Multiple primary lung MALT lymphomaChinese medicine
Borie R,Wislez M,Antoine M,et al.Pulmonary mucosa-associated lymphoid tissue lymphoma revisited[J].Eur Respir J,2016,47(4):1244-1260.
刘畅,于忠和,贾志凌.原发性肺黏膜相关淋巴组织淋巴瘤1例报告并文献复习[J].中国误诊学杂志,2009,9(17):4041-4044.
陆杨,杨春燕,尤小芳.肺黏膜相关淋巴组织淋巴瘤MSCT诊断价值[J].临床放射学杂志,2017,36(5):664-667.
张艳,余建群,朱洪基,等.肺黏膜相关淋巴组织淋巴瘤的CT和临床表现及其病理学基础[J]. 放射学实践,2016,31(8):734-738.
王正,左玉强,王晓彤,等.原发性肺黏膜相关淋巴组织淋巴瘤临床及MDCT影像表现分析[J].国际呼吸杂志,2020,40(13):1017-1021.
刘云,张曦,张松.肺黏膜相关淋巴组织淋巴瘤MSCT表现与病理学基础[J].中华肺部疾病杂志(电子版),2019,12(3) 281-284.
成向阳,熊信国,陈汉章,等. 原发性肺淋巴瘤21例诊断与治疗[J].中国现代医学杂志,2009,19(11):1742-1745.
RalphYachoui,ChadyLeon,KajalSitwala,et al. Pulmonary MALT Lymphoma in Patients with Sjögren's Syndrome[J].Clinical medicine & research,2017,15(1-2).
RaphaelBorie,MarieWislez,MartineAntoine,et al. Pulmonary mucosa-associated lymphoid tissue lymphoma revisited[J].The European respiratory journal,2016,48(4):1244-1260.
SETH JK,TERI JF,JEFFREY RG,et al.Primary extranodal lymphoma of the thorax[J].Radiol Clin North Am,2016,54(4):673-687.
Cadranel J,Wislez M, Antoine M. Primary pulmonary lymphoma. Eur Respir[J], 2002, 20(3): 750-762.
Ko HM,Geddie WR,Boerner SL,et al.Cytomorphological and clinicopathological spectrum of pulmonary marginal zone lymphoma:the utility of immunophenotyping,PCR and FISH studies[J].Cytopathology,2014,25(4):250-258.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构