Difficulties in diagnosing intravascular large B-cell lymphoma under the mask of dementia against the background of intestinal tumor
S.N. IVANOVA1, 2, S.A. GLADKOV1, 2, L.V. TITOVA1, 2, YU.E. SCHERSKIYI2, M.E. GASNIKOVA2, M.N. BROVKOV2
1 Northern State Medical University, Arkhangelsk
2 Arkhangelsk Regional Clinical Hospital, 292, Arkhangelsk
Contact details:
Ivanova S.N. — Ph. D. (medicine), Associate Professor of the Department of Hospital Therapy end Endocrinology, therapist
Address: 51 Troitsky prospekt, Russian Federation, Arkhangelsk, 163000, tel.: +7 (8182) 632-996, e-mail: sivanova09@mail.ru
The purpose — to present the literature data concerning the features of diagnosing intravascular B-large cell lymphoma (IVLBCL), a rare form of diffuse B-cell lymphomas, more often detected at autopsy, and a clinical case.
Material and methods. A description of the clinical observation of IVLBCL is presented, verified by immunohistochemical autopsy, under the guise of dementia in a patient diagnosed with a caecum tumor.
Conclusion. The article is of interest to practitioners, as IVLBCL is often diagnosed only at autopsy, masked by other various diseases during life. The key to IVLBCL diagnosis is a skin biopsy and immunohistochemical study.
Key words: intravascular large B-cell lymphoma, dementia, intestinal tumor, immunohistochemical analysis.
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