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目的 探讨肢体淋巴水肿疾病中相关恶性肿瘤的诊断与治疗。方法 对我院 1988年 10月至 2 0 0 0年 12月收治的 3 3 2例肢体淋巴水肿患者 ,根据临床表现 ,用B超、淋巴管造影、静脉造影或CT等手段作为病因诊断检查 ,对可疑恶性肿瘤病例用穿刺、局部切除或局部探查的方法共活检 2 0例。结果 检出由恶性肿瘤引发的淋巴水肿 18例 ,其中原发淋巴系统恶性肿瘤 4例 ,均为下肢 ;继发性淋巴结转移癌 14例 ,上、下肢各 7例 ,并予相应治疗。结论 重视本病临床表现 ,可使患者获得及早诊断 ,及时治疗。
Objective To investigate the diagnosis and treatment of related malignant tumors in limb lymphedema diseases. Methods A total of 332 cases of limb lymphedema admitted from October 1988 to December 2000 in our hospital were diagnosed by etiological diagnosis by means of B-mode ultrasound, lymphangiography, venography or CT. Twenty cases of suspected malignant tumor by biopsy, local excision or local exploration methods. Results There were 18 cases of lymphedema induced by malignant tumors, including 4 cases of primary lymphatic system malignant tumors, all of them were lower limbs. There were 14 cases of secondary lymph node metastasis, 7 cases of upper and lower extremities, and were treated accordingly. Conclusion The importance of clinical manifestations of this disease can enable patients to obtain early diagnosis and timely treatment.