摘要
目的 提高对肺黏膜相关淋巴组织淋巴瘤的认识 ,减少误诊。方法 对本病例及国内文献报道的肺黏膜相关淋巴组织淋巴瘤 (MALT)病例共 12例进行分析。结果 男 7例 ,女 5例 ,年龄 5 0～ 75岁 ,平均年龄 5 9.8岁。临床表现 :胸闷 10例 ,咳嗽11例 ,发热 5例 ,消瘦 6例 ,乏力 2例 ,盗汗 3例 ,痰中带血 1例。临床误诊为肺结核 3例 ,肺炎 4例 ,肺癌 5例。确诊手段 :CT引导下肺活检 4例 ,经纤维支气管镜肺活检 (TBLB) 3例 ,开胸活检 5例。结论 肺黏膜相关淋巴组织淋巴瘤是非霍奇金淋巴瘤(NHl)中一个独特亚型 ,其临床表现无特异性 ,易误诊为肺结核、肺炎、肺癌。CT引导下肺活检、经纤维支气管镜肺活检、开胸及VAST活检是其常用的确诊手段 ,而手术为主的综合治疗为其主要的治疗手段。
Objective To improve the understanding and diagnosis of lymphomas of musoca associated lymphoid tissue of the lung.Methods One case of lymphomas of musoca associated lymphoid tissue of the lung and other 11 cases reported were reviewed.Results There were 7 cases of male and 5 cases of female,varying from 50 to 75 years old.Clinical symptoms at presentation included choking in 10/12, cough in 11/12, fever in 5/12, becoming thin in 6/12,acratia in 2/12,night sweat in 3/12,blood-tinged sputum in 1/12.There were 3 cases being misdiagnosed as phthisic,4 cases being misdiagnosed as pneumonia,5 cases being misdiagnosed as lung cancer. Conclusion Musoca associated lymphoid tissue in lung is a unusual subtype of non-Hodgkin lymphoma.There is not specificity in clinical symptoms.It is easy to misdiagnose phthisic,pneumonia,lung cancer. Means of diagnose include lung biopsy with CT leading,branchofiberoscope,dissecting chest. Complex treatment with an emphasis on operation is the chief method of treatment.
出处
《重庆医学》
CAS
CSCD
2004年第11期1694-1695,共2页
Chongqing medicine
