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Primary extranodal NK/T cell lymphoma nasal-type of uterus with adenomyosis: a case report

机译:原发性结外NK / T细胞淋巴瘤鼻型子宫腺肌病:1例病例报告

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摘要

Natural killer (NK)/T cell lymphoma of the female genital tract is extremely rare. We here report a case of ‘nasal type’ NK/T cell lymphoma arising in the uterus with adenomyosis in a 41-year-old woman with fever and hypogastralgia. The histologic analysis demonstrated a highly aggressive tumor with characteristic angiocentric/angiodestructive growth pattern and focal necrosis. The lymphoma cells displayed a CD3ϵ/CD56/TIA-1/granzyme-B/Perforin-positive and CD20/CD79a/CD4/CD8-negative immunophenotype and positive for Epstein-Barr virus by EBER in situ hybridization. Clinically, the disease was limited to the uterus at the initial diagnosis, but progressed rapidly. The patient died on day 54 after hysterectomy, irrespective of intensive chemotherapy.Virtual SlidesThe virtual slide(s) for this article can be found here:
机译:女性生殖道的自然杀手(NK)/ T细胞淋巴瘤极为罕见。我们在这里报告了一名发烧,胃下痛的41岁妇女子宫内子宫腺肌病发生的“鼻型” NK / T细胞淋巴瘤病例。组织学分析显示具有特征性血管中心/血管破坏性生长模式和局灶性坏死的高度侵袭性肿瘤。淋巴瘤细胞表现出CD3 + / CD56 / TIA-1 /粒酶-B /穿孔素阳性和CD20 / CD79a / CD4 / CD8阴性免疫表型,并通过EBER原位杂交对爱泼斯坦-巴尔病毒呈阳性。临床上,该疾病在最初诊断时仅限于子宫,但进展迅速。该患者在子宫切除术后第54天死亡,无论是否进行了强力化疗。虚拟载玻片本文的虚拟载玻片可以在这里找到:

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