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Lymphknotenschwellung in der Leiste

Ungewöhnliche Ursache bei einer 65-jährigen Patientin

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Zusammenfassung

Eine 65 Jahre alte Patientin wurde mit unspezifischen Symptomen unter dem Verdacht auf ein malignes Lymphom in der rechten Leiste stationär aufgenommen. Histologisch stellte sich jedoch ein follikulärer dendritischer Retikulumzelltumor (FDC-Tumor) heraus. Da es für diese Art von Tumoren keine etablierte Therapie gibt, jedoch auch durchaus sehr aggressive Verläufe berichtet wurden, entschlossen wir uns nach der chirurgischen Tumorresektion zu einer zusätzlichen kombinierten Radio-Chemotherapie. Trotz dieser Maßnahmen kam es 16 Monate nach der Erstdiagnose zu einem neu aufgetretenen Prozess in der Lunge, welcher sich als Filia des follikulären dendritischen Retikulumzelltumors herausstellte. Dieser wurde reseziert. Nach wie vor ist unklar, welches die optimale Therapie für diese Tumoren ist.

Abstract

A 65 year old female patient was admitted to our hospital with unspecific symptoms and a lump in the right groin which raised suspicion of a malignant lymphoma. Histologically a follicular dendritic reticular cell tumor was found. Because there are aggressive forms of this tumor and no established standard therapy, we decided to treat her with surgery followed by a combined radio- and chemotherapy. Despite this treatment 16 months after the first diagnosis a relapse occurred with a metastasis of the follicular dendritic cell tumor in the lung. The metastasis was resected surgically. The optimal management of this kind of tumor is not known.

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Authors and Affiliations

  1. Klinik für Hämatologie des Zentrums für Innere Medizin der Universität Essen

    C. Mozek, J. Novotny & U. Dührsen

  2. Institut für Pathologie der Universität Essen

    K. A. Metz

  3. Klinik für Hämatologie, Zentrum für Innere Medizin, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen

    C. Mozek

Authors
  1. C. Mozek
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  2. J. Novotny
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  3. U. Dührsen
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  4. K. A. Metz
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Correspondence to C. Mozek.

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Mozek, C., Novotny, J., Dührsen, U. et al. Lymphknotenschwellung in der Leiste. Internist 45, 90–92 (2004). https://doi.org/10.1007/s00108-003-1101-7

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  • DOI: https://doi.org/10.1007/s00108-003-1101-7

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