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- W622701880 abstract "背景．胸部CTで寛解増悪を呈し，胸腔鏡下肺生検でAsian variant intravascular large B-cell lymphomaと診断した1例を経験したので報告する．症例．53歳，男性．検診で胸部異常陰影を指摘され，労作時呼吸困難の自覚もあったため当科受診した．胸部CTでびまん性すりガラス陰影を認め，気管支内視鏡検査などを施行したが特異的な所見を欠き，症状・陰影がともに入院後に軽快したため，過敏性肺臓炎を疑い経過観察とした．11ヶ月後，呼吸困難を主訴に再診した．びまん性すりガラス陰影の再燃を認め，翌月から発熱し入院した.胸腔鏡下肺生検で小血管の内腔にCD79α・MUM1陽性，CD10・BCL6弱陽性の異型細胞を認め，さらにIgH遺伝子再構成も陽性であり，血球貪食症候群も合併していたため，Asian variant intravascular large B-cell lymphomaと診断した．結論．自然に寛解増悪を呈したAsian variant intravascular large B-cell lymphomaの稀な1例を経験し，その画像所見や検査成績，機序，治療法について文献的考察も加えて報告した．" @default.
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- W622701880 date "2013-01-01" @default.
- W622701880 modified "2023-10-18" @default.
- W622701880 title "A Case of Asian Variant Intravascular Large B-cell Lymphoma Diagnosed Based on a Thoracoscopic Lung Biopsy That Exhibited Remission and Exacerbation on Computed Tomography" @default.
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- W622701880 doi "https://doi.org/10.2482/haigan.53.99" @default.
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