眼结膜MALT淋巴瘤1例并文献复习
One Case of Conjunctival MALT Lymphoma and Literature Review
DOI: 10.12677/ACM.2022.1281095, PDF,    科研立项经费支持
作者: 李旭霞*, 林丽莉, 段小钰, 王慧霞, 曾 璐, 曹 雷, 赵爽彦：甘肃中医药大学第一临床医学院，甘肃 兰州；甘肃省人民医院放疗一科，甘肃 兰州；扈婷婷, 蔡宏懿#：甘肃省人民医院放疗一科，甘肃 兰州
关键词: MALT淋巴瘤；结膜肿瘤；眼附件淋巴瘤；放射治疗；MALT Lymphoma； Conjunctival Tumor； Ocular Adnexal Lymphomas； Radiotherapy
摘要: 目的：探讨眼结膜MALT淋巴瘤的放疗剂量及放疗后并发症的管理。方法：回顾性分析该院收治的1例眼结膜MALT淋巴瘤患者的临床资料，并结合国内外文献进行复习探讨。结果：患者以左眼结膜黄豆粒大小的新生肿物为主要临床表现，于外院行手术切除，术后病检示黏膜相关淋巴组织结外边缘区淋巴瘤。后患者行左眼调强放疗，剂量：95% PTV，30 Gy/2 Gy/15 F，放疗后随访1个月未见肿瘤复发、转移，患者诉眼干，余无特殊不适。结论：眼结膜MALT淋巴瘤临床较罕见，放射治疗疗效确切、并发症可控。
Abstract: Objective: To investigate the dose of radiotherapy and the management of post-radiotherapy com-plications in conjunctival MALT lymphoma. Methods: The clinical data of a patient with conjunctival MALT lymphoma admitted to the hospital were retrospectively analyzed, and reviewed and dis-cussed with domestic and international literature. Results: The patient presented with a neoplastic mass the size of a soybean grain in the left conjunctiva as the main clinical manifestation and un-derwent surgical resection at an outside hospital. Postoperative pathological examination showed lymphoma in the extra-nodal marginal zone of mucosa-associated lymphoid tissue. The patient was treated with intensity-modulated radiotherapy in the left eye at a dose of 95% PTV, 30 Gy/2 Gy/15 F, and no tumor recurrence or metastasis was observed in the 1-month follow-up after radiotherapy. Conclusion: Conjunctival MALT lymphoma is rare clinically, and the efficacy of radiation therapy is precise and the complications are manageable.
文章引用：李旭霞, 林丽莉, 段小钰, 王慧霞, 曾璐, 曹雷, 赵爽彦, 扈婷婷, 蔡宏懿. 眼结膜MALT淋巴瘤1例并文献复习[J]. 临床医学进展, 2022, 12(8): 7586-7591. https://doi.org/10.12677/ACM.2022.1281095

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