摘要
目的 :观察淋巴结外非霍奇金淋巴瘤 (NHL)的临床表现特点及分析误诊原因。方法 :将近年来经病理确诊的非霍奇金淋巴瘤 10 5例进行分析。结果 :10 5例 NHL 中 ,原发于结外的 80例 (76 .2 % ) ,其中发生于鼻咽喉 33例(41.2 % ) ,消化道 16例 (2 0 % ) ,其他部位 (口腔及其周围组织、胸部、眼、皮肤、内分泌腺、生殖腺和软组织 ) 31例(38.8% )。结论 :结外 NHL发生率较高 ,以发生于鼻咽喉及消化道者为多 ,也可发生于任何组织器官 ,其临床表现缺乏特征性 ,早期易误诊为各专科常见病 ,早期诊断困难 ,应尽快行病理检查 ,以明确诊断。
Objective:To observe the characteristic of clinical manifestation and analyze the cause of misdiagnosis of primary extra-nodular non-Hodgkin′s lymphoma(NHL).Methods:105 cases of non-Hodgkin′s lymphoma were analyzed, which were diagosed with pathological examination in recent years.Results:80 cases(76.2%) in 105 patients of NHL were diagnosed as primary extranodal NHL, 33 cases of them were in nasopharynx area, which occupied 41.2%,16 cases(20%) were in gastrointestinal tract, and the rest distributed other organs(oral cavity and its peripheral tissues, chest, eye, endocrine glands, gonad and soft tissues),which had 31 cases(38.8%).Conclusions:There is high incidence of primary extranodal NHL, which occurred mostly in nasopharynx area, it can also occurred in any other organs and tissues. Its manifestation is not special, and it is misdiagnosed as commonly encountered disease of every system, usually it is difficulty to make early diagnosis. Therefore, it is necessary to perform biopsy as early as possible for correcting diagnosis.
出处
《中国误诊学杂志》
CAS
2004年第4期503-504,共2页
Chinese Journal of Misdiagnostics
关键词
淋巴瘤
非霍奇金/诊断
误诊
Lymphoma,non-hodgkin/diagnosis
Diagnostic errors
