Abstract:
RATIONALE:Primary diffuse large B-cell lymphoma of the chest wall is extremely rare. A majority of the pleural lymphomas develop in patients with chronic tuberculous pyothorax. The underlying mechanism might be attributed to the sustained stimulation of chronic inflammation. Surgery followed by adjuvant chemotherapy can improve the outcome in some patients with lymphoma localized only in the chest wall. Thus, an early diagnosis of pyothorax-associated lymphoma is essential as it is a malignant, life-threatening condition. PATIENT CONCERNS:A 79-year-old male complained of left-side chest pain for more than 2 months, which was not alleviated with nitrates and aspirin. The patient presented an intermittent low fever, anorexia, and marasmus, accompanied by tuberculosis 40 years ago and chronic left-side pyothorax. Also, ANCA (antineutrophil cytoplasmic autoantibody)-associated vasculitis occurred for >3years. DIAGNOSIS:Computed tomography scan showed a solid mass in the left lateral chest wall. The patient underwent ultrasonic-guided biopsy of the lesion. A diagnosis of primary diffuse large B-cell lymphoma of the chest wall was established after histological examination. INTERVENTION:Due to advanced age and poor physical condition, the patient received CHOP chemotherapy at a reduced dose. OUTCOMES:The patient died 5 days after the first cycle of chemotherapy with severe dyspnea and high fever. LESSONS:The chronic inflammation stimulation might result in the development of lymphoma in the chest wall of patients with long-term pyothorax, vasculitis, or other autoimmune diseases associated with malignancies. The fever, chest pain, or other nonspecific clinical symptoms in these patients should be under intensive focus as it might indicate the development of malignant lymphoma. Thus, histological examination in these patients is essential for accurate early diagnosis.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhang Q,Ju Y,Qu T,Wang T,Liu Xdoi
10.1097/MD.0000000000013291subject
Has Abstractpub_date
2018-11-01 00:00:00pages
e13291issue
47eissn
0025-7974issn
1536-5964pii
00005792-201811210-00041journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract::[This corrects the article DOI: 10.1097/MD.0000000000002223.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/MD.0000000000007997
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Intrahepatic cholestasis of pregnancy (ICP) is a specific pregnancy-related disorder without standard medical therapies. Ursodeoxycholic acid (UDCA) is the most used medicine, but the efficacy and safety of UDCA remain uncertain. Several meta-analyses had been made to assess the effects of UDCA in ICP. Howev...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004949
更新日期:2016-10-01 00:00:00
abstract:RATIONALE:To report the management of recalcitrant neurotrophic keratopathy in a pediatric patient affected by pontine tegmental cap dysplasia (PTCD) using topical human recombinant nerve growth factor (hrNGF, Cenegermin 20 μg/ml). To the best of our knowledge the present case is one of the few described in patients wi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020816
更新日期:2020-07-24 00:00:00
abstract:BACKGROUND:The purpose of this study is to investigate the impact of cervical vascular ultrasound (CVU) combined transcranial Doppler ultrasound (TDU) in the diagnosis of cerebral infarction (CI). METHODS:The following electronic databases will be sought from PUBMED, EMBASE, Cochrane Library, PSYCINFO, Web of Science,...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019997
更新日期:2020-05-29 00:00:00
abstract:BACKGROUND:Pulse oximetry screening is a highly accurate tool for the early detection of critical congenital heart disease (CCHD) in newborn infants. As the technique is simple, noninvasive, and inexpensive, it has potentially significant benefits for developing countries. The aim of this study is to provide informatio...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008683
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:A characteristic metabolic finding of hepatic alveolar echinococcosis (HAE) on positron emission tomography/computed tomography (PET/CT) correlates with morphologic features on CT and magnetic resonance imaging (MRI). PATIENT CONCERNS:A young man from an endemic area was admitted to our hospital due to right...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014561
更新日期:2019-02-01 00:00:00
abstract::Several studies investigating the role of retinal vascular occlusions, on cerebrovascular diseases (CVD) have been reported, but the results are still inconsistent. We therefore sought to evaluate the relationship between retinal vascular occlusions and CVD.We systematically searched the Cochrane Library, PubMed, and ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004075
更新日期:2016-06-01 00:00:00
abstract:RATIONAL:Spontaneous adrenal hematoma in pregnancy is a very rare condition. Herein we present an additional rare case of unilateral spontaneous adrenal hematoma in a pregnant woman, aiming to share this experience and summarize the signal characteristics of simple adrenal hematoma in magnetic resonance imaging (MRI). ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013329
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Canagliflozin is a new SGLT2 inhibitor which has been approved as an adjunct to diet and exercise for the treatment of adults with type 2 diabetes (T2D) mellitus in more than 30 countries. To evaluate the efficacy and safety of canagliflozin in patients with T2D, we carried out a meta-analysis of phase III c...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000005473
更新日期:2016-11-01 00:00:00
abstract::Primary Amyloid Light-chain (AL) amyloidosis is a rare form of plasma cell dyscrasia characterized by tissue deposition of monoclonal immunoglobulin light chain. Kidney involvement is the most frequent manifestation, and patients usually present with glomerular disease.We report an exceptional case of bilateral kidney...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000777
更新日期:2015-05-01 00:00:00
abstract:RATIONALE:Unilateral hypoplasia of the lung is a rare congenital condition, the mechanism of which is poorly understood. Primary pulmonary hypoplasia occurring in an adult is extremely rare and we present what is probably the first case of a link to a tuberculous pleural effusion in a young woman after childbirth. PAT...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010868
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:A pathological increase in intraabdominal pressure (IAP) and inflammatory responses have negative effects on splanchnic, respiratory, cardiovascular, renal, and neurological function in septic patients with intestinal dysfunction. Electro-acupuncture (EA) has been evidenced to have a bidirectional neuron-end...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000010555
更新日期:2018-04-01 00:00:00
abstract:RATIONALE:Vortioxetine is a new multimodal antidepressant approved by the Food and Drug Administration for the treatment of Major Depressive Disorder and recently introduced in Europe. While antidepressant properties of vortioxetine and its tolerability have been demonstrated by preclinical and clinical studies data on...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010788
更新日期:2018-06-01 00:00:00
abstract:RATIONALE:Hepatic ectopic pregnancy is an extremely rare ectopic pregnancy. This study aimed to report a case of primary hepatic pregnancy in a patient with polycystic syndrome. PATIENT CONCERNS:A 30-year-old woman presented with vaginal bleeding after 63 days of amenorrhea. DIAGNOSIS:The patient was initially diagno...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019649
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:The role of real-time elastography (RTE)-targeted biopsy in the detection and diagnosis of prostate cancer (PCa) remains controversial. METHODS:We searched Medline, Embase, and Cochrane Library from inception to July 31, 2017 and used the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool to ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000010220
更新日期:2018-03-01 00:00:00
abstract:RATIONALE:Tailgut cysts are a type of very rare congenital polycystic lesions that are always located posterior to the rectum and anterior to the sacrum. The symptoms of tailgut cysts are nonspecific and misleading. Therefore, a full understanding of the characteristics of tailgut cysts is important for their diagnosis...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014448
更新日期:2019-02-01 00:00:00
abstract::Studies estimate that 6% to 27% of deaths in hospitals might be prevented with higher quality care. These estimates may be inaccurate because they fail to account for the uncertainty associated with classifying preventability. The purpose of this study was to measure the prevalence of preventable deaths, accounting fo...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006162
更新日期:2017-02-01 00:00:00
abstract::There are limited population-based studies on the progress of oseltamivir therapy for influenza infection.Using insurance claims data of 2005, 2009, and 2010, the authors established an "in-time" cohort and a "lag-time" cohort representing influenza patients taking the medicine within and not within 1 week to examine ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001070
更新日期:2015-07-01 00:00:00
abstract::To summarize the clinical features of eyeball rupture with or without orbital fracture and explore the differences between them.In all, 197 patients were observed, and the following data were recorded: sex, age, time of injury, place of injury, cause of trauma, zone of eye injury, intraocular content prolapse, surgica...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007109
更新日期:2017-06-01 00:00:00
abstract::This article investigated the feasibility of laparoscopic surgery in unfavorable site gastric gastrointestinal stromal tumors (GISTs).We identified 214 patients who underwent primary gastric GIST resection at our institution (January 2006-December 2014) from a prospectively collected database. These patients were divi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006535
更新日期:2017-04-01 00:00:00
abstract::This study aimed to explore the efficacy and toxicity of image-guided stereotactic body radiotherapy (IGSBR) by helical tomotherapy in patients with lung cancer among Chinese Han population.A total of 21 patients with stage I lung cancer were included. They received a total of 60 Gy factions IGSBR. The outcomes includ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009243
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Rotavirus (RV) can cause vomiting and diarrhea in infants and children, and could be treated clinically with immunoglobulin Y (IgY), which is an immunoglobulin extracted from chicken yolk. There is no systematic evaluation of immunoglobulin in the treatment of rotavirus enteritis. Therefore, we systematicall...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016100
更新日期:2019-07-01 00:00:00
abstract:RATIONALE:Metastasis to the small intestine from a primary lung cancer is rare, and is associated with a poor prognosis. Early diagnosis of small intestine metastasis is difficult because of the low incidence of clinically apparent symptoms. PATIENT CONCERNS:Clinical data and treatment of a 59-year-old man with small ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007768
更新日期:2017-08-01 00:00:00
abstract::To evaluate the value of lymph node status of primary tumors in predicting the prognosis of synchronous resectable metastatic colorectal cancer (mCRC).The characteristics of resectable mCRC are substantially different from other cancers, and the prognostic factors of resectable mCRC are still controversial.The data of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001215
更新日期:2015-07-01 00:00:00
abstract:INTRODUCTION:Treating blood stasis is effective in treating obesity and metabolic diseases in traditional Korean medicine. The aim of this prospective observational study is to determine the effectiveness of the diagnosis index for metabolic diseases with blood stasis by analyzing clinical data and blood samples. METH...
journal_title:Medicine
pub_type: 临床试验,杂志文章
doi:10.1097/MD.0000000000021140
更新日期:2020-07-02 00:00:00
abstract::Several risk factors for pancreatic fistula had been widely reported, but there was no research focusing on the exocrine output of remnant gland.During the study period of January 2015 to September 2016, 82 patients accepted pancreaticoduodenectomy (PD, end-to-end dunking pancreaticojejunostomy with internal stent tub...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008451
更新日期:2017-11-01 00:00:00
abstract::Abnormal serum potassium levels are associated with an increased risk of ventricular arrhythmias and mortality in patients with acute myocardial infarction (AMI). The aim of the present study was to evaluate whether different levels of serum potassium, within the normal range, are associated with worse outcomes. The p...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000003778
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:As the general population continues to age, there is an increase need for surgical management of elderly patients. Compared to open hepatectomy (OH), laparoscopic hepatectomy (LH) offers earlier mobilization, less blood loss, and shorter postoperative hospital stay. However, whether these advantages of LH ov...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000011703
更新日期:2018-07-01 00:00:00
abstract:RATIONALE:Low-grade fibromyxoid sarcoma (LGFMS) is a pathological type of fibrosing fibrosarcoma that appears as a distinctive soft tissue masse with bland histological features. It is mostly located in the deep soft tissues of the extremities. Computed tomography (CT) plays an important role in diagnosing fibrosing fi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009409
更新日期:2017-12-01 00:00:00
abstract::At present, glycated hemoglobin (HbA1c) and glycated albumin (GA) are used to evaluate glycemic control in diabetic patients, but they cannot reflect insulin deficiency and/or insulin resistance.We investigated the feasibility of using estimated average glucose to fasting plasma glucose ratio (eAG/fPG ratio) to estima...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022337
更新日期:2020-10-02 00:00:00