摘要
目的 :分析头颈部原发性结外淋巴瘤的误诊原因 ,并提出相应对策。方法 :对我院 1990 - 12～ 2 0 0 0 - 0 2收治的头颈部原发性结外淋巴瘤 4 2例进行回顾性分析。结果 :本组首诊误诊率高达 85 .71% ,其中误诊为炎症者占 76 .19%。结论 :头颈部原发性结外淋巴瘤因其无特异性症状体征 ,易误诊。故临床专科医师应加强对本病的认识 ,常规行耳鼻咽喉科专科检查 ,必要时做多部位病理活检 ,并注意提高组织学诊断水平 ,以期能早期确诊及治疗 ,改善预后。
Objective:To analyze the reasons for misdiagnoses and expect to increase the diagnostic accuracy of primary extranodal lymphomas of the head and neck (PLHN).Methods:Review retrospectively the clinical features, diagnoses,treatment and prognosis of the 42 cases with PLHN during 1990-12～2000-02.Results:In this group, the misdiagnosis rate was 85.71%, and 32 patients were diagnosed as inflammation in their first visit.Conclusions:We found that misdiagnosis was very common in clinic because it had no special clinical performances of PLHN. Considered that, we must examine the patients carefully and perform biopsy in enough depths on multiply suspected sites, so that we can achieve the earlier diagnosis and treatment to improve the prognosis for PLHN.
出处
《中国误诊学杂志》
CAS
2003年第8期1154-1155,共2页
Chinese Journal of Misdiagnostics
关键词
淋巴瘤/诊断
误诊
头颈部肿瘤/诊断
Lymphoma/diagnosis
Diagnosis errors
Head and neck neoplasms/diagnosis
