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伪装入侵者:结外 NK/T 细胞淋巴瘤模拟眶隔前蜂窝织炎

英文原题:A Masked Intruder: Extranodal Natural Killer/T-Cell Lymphoma Mimicking Preseptal Cellulitis.

查看英文原题

A Masked Intruder: Extranodal Natural Killer/T-Cell Lymphoma Mimicking Preseptal Cellulitis.

PubMed 2025/12/30(内容时间) Mayo Clin Proc Innov Qual Outcomes Q1 · IF 4.5(JCR 2025)

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中文摘要

结外自然杀伤/T细胞淋巴瘤是一种罕见的、侵袭性的、与Epstein-Barr病毒相关的恶性肿瘤。我们报告了一例不寻常的病例,患者为一名40多岁的女性,表现为进行性左侧眶周肿胀、发红和疼痛,最初按难治性眶隔前蜂窝织炎治疗。尽管给予了积极的抗生素治疗,症状仍加重。影像学显示累及左侧眼眶的炎性条索影和蜂窝织炎性强化。活检揭示了原发性眼眶结外自然杀伤/T细胞淋巴瘤(鼻型)的诊断,且无鼻窦鼻腔受累,这极为罕见。本病例强调,对于抗生素治疗无反应的眶隔前蜂窝织炎患者,需要考虑其他非感染性诊断。

展开英文摘要原文

Extranodal natural killer/T-cell lymphoma is a rare, aggressive, Epstein-Barr virus-associated malignancy.

We reported an unusual case of a woman in her middle 40s presenting with progressive left-sided periorbital swelling, redness, and pain, initially treated as a refractory preseptal cellulitis. Despite aggressive antibiotic therapy, symptoms worsened. Imaging showed inflammatory stranding and phlegmonous enhancement involving the left orbit.

A biopsy revealed the diagnosis of primary orbital extranodal natural killer/T-cell lymphoma (nasal type) without sinonasal involvement, which is extremely uncommon. This case emphasized the need to consider other noninfectious diagnoses in patients with preseptal cellulitis unresponsive to antibiotics.

论文信息

作者
Fuentes SA、Griepentrog GJ、King RL、Bennani NN、Chesdachai S
第一作者单位
Department of Medicine, Mayo Clinic, Rochester, MN.United States
通讯作者单位
Division of Public Health, Infectious Diseases and Occupational Medicine, Department of Medicine, Mayo Clinic, Rochester, MN.United States
文献类型
病例报告
期刊
Mayo Clinic proceedings. Innovations, quality & outcomes2026 Feb
原文标识
PubMed 41551633 · DOI 10.1016/j.mayocpiqo.2025.100689