CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Case Report: Collision Tumor Involving Diffuse Large B-Cell Lymphoma (DLBCL) and Meningioma.
Case Report: Collision Tumor Involving Diffuse Large B-Cell Lymphoma (DLBCL) and Meningioma.
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我们报告一名73岁男性病例。患者最初诊断为睾丸IE期弥漫性大B细胞淋巴瘤(DLBCL),MRI偶然发现右额部轴外肿块,影像特征符合凸面脑膜瘤。DLBCL治疗后不足2年复发,出现多处淋巴瘤病灶,且18F-FDG PET-CT显示增大的轴外脑膜肿块摄取增加。CD19 CAR-T 治疗后,除额部肿块外均达到完全代谢缓解。手术切除发现该病灶为DLBCL与脑膜上皮型脑膜瘤构成的碰撞瘤。碰撞瘤是指两种组织学不同的肿瘤占据同一解剖部位,较为少见,发生于中枢神经系统者尤其罕见。
We report on a 73-year-old man, initially diagnosed with testicular stage IE DLBCL and an incidental finding of an extra-axial right frontal mass with MRI features of a convexity meningioma. The DLCBL relapsed <2 years after treatment, with multiple lymphoma localizations and increased uptake in the grown extra-axial meningeal mass on 18 F-FDG PET-CT.
CD19-CAR-T therapy induced a complete metabolic response with the exception of the frontal mass. Surgical resection revealed a collision tumor involving DLBCL and meningothelial meningioma. Collision tumors-2 histologically different neoplasms that occupy the same anatomic location-are uncommon, especially those occurring in the central nervous system.
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