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LINFOMA DELLA ZONA MARGINALE DEL LINFONODO

LINFOMA DELLA ZONA MARGINALE DEL LINFONODO

Judith Gueswendé PITROIPA

77,37 €
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Editorial:
KS OmniScriptum Publishing
Año de edición:
2024
Materia
Medicina: cuestiones generales
ISBN:
9786208102210
77,37 €
IVA incluido
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Sobre IBD

Un paziente di 52 anni con un’anamnesi di epatite virale cronica B ha presentato una massa laterocervicale sinistra dolorosa. L’esame clinico ha rivelato molteplici adenopatie laterocervicali sinistre dolorose. Gli esami del sangue hanno mostrato un aumento della latticodeidrogenasi (391,3 UI/L) e della beta-2-microglobulina (2,92 mg/L). Una TC cervico-toraco-abdomino-pelvica ha mostrato quattro (04) adenomegalie latero-cervicali. L’istologia delle escissioni linfonodali ha rivelato una proliferazione tumorale diffusa. Le cellule tumorali erano piccole, con scarso citoplasma eosinofilo e nuclei irregolari, ipercromatici, spesso chiarificati e nucleolati. L’atipia nucleare era marcata e le figure mitotiche rare. L’immunoistochimica ha mostrato una marcatura positiva delle cellule tumorali con anticorpi anti-CD20, anticorpi anti-Bcl2 e Ki67. La diagnosi è stata di linfoma localizzato della zona marginale dei linfonodi con una grande massa tumorale.

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