만성 신질환 환자에서 발생한 원발성 삼출액 림프종 1예
A Case of Primary Effusion Lymphoma in a Patient with Chronic Kidney Disease
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초록
저자들은 만성 신부전 환자에서 HHV-8 음성 원발성 삼출액 림프종 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Human herpes virus-8 (HHV-8)-negative primary effusion lymphoma (PEL) is frequently observed in patients with chronic liver disease. We describe herein a case of PEL in a patient with chronic kidney disease. A 59-year-old woman presented with dyspnea. The patient had a history of uncontrolled pleural effusion. The pleural effusion revealed a malignant cell-dominant exudate. Serological tests were negative for human immunodeficiency virus (HIV). Initial chest and abdomen computed tomography showed bilateral pleural effusion; however, no evidence of a tumor mass or lymph node enlargement was found. A malignant lymphoma of diffuse large B-cell type was confirmed by pleural fluid cytology. Immunohistochemical staining of malignant cells was negative for HHV-8. She was treated with rituximab and CHOP (cyclophosphamide, adriamycin, vincristine, prednisolone) chemotherapy. We report a case of PEL in a patient with chronic kidney disease that may be a plausible predisposing factor for HHV-8-negative PEL. (Korean J Med 2012;83:385-389)
참고문헌 (10)
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