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- W2326059008 abstract "症例は67歳，男性．頸部リンパ節腫脹を主訴．穿刺細胞診で悪性リンパ腫が疑われたが自然消退した．腹部CTで腹腔内リンパ節の腫脹(-)．胆嚢底部～体部肝側に乳頭状の隆起を認め，胆嚢癌と診断された．2005年2月開腹所見で胆嚢に50×40mm乳頭膨張型の腫瘍，Treitz靱帯から約20cmの空腸に25×20mmの1型腫瘍を認めた．拡大胆嚢摘出+胆管切除+リンパ節郭清+空腸部分切除+胆管空腸吻合術を施行した．病理所見で胆嚢粘膜固有層，空腸粘膜下～漿膜下に中型で均一な異型リンパ球がび漫性に増殖浸潤し，CD10(+)，CD20(+)，CD79a(+)とB細胞マーカーが陽性，MIBI>90％と核分裂像多数で両者とも悪性リンパ腫（Diffuse large B-cell lymphoma）と診断された．術後リツキシマブ+CHOP療法を8クール施行し，術後4年10カ月無再発生存中である．胆嚢原発の悪性リンパ腫は極めてまれである．MALTリンパ腫もあるが総じて高悪性度であり予後不良であり，病型分類により術後化学療法が必要である．" @default.
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- W2326059008 date "2010-01-01" @default.
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- W2326059008 title "A CASE OF MALIGNANT LYMPHOMA OF THE GALLBLADDER" @default.
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