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目的:探讨原发于肺的淋巴瘤临床特点、诊断及治疗方法。方法:对6例原发于肺的淋巴瘤患者进行分析,结合文献对其临床特点、影像学改变、支气管镜表现、确诊手段及治疗方法进行分析。结果:原发于肺的淋巴瘤无特异性临床表现,易误诊为其它肺疾患。肺部影像学主要为单发团块或多发结节影,不易与肺癌鉴别。支气管镜下通常无异常表现或仅表现为慢性炎症,确诊主要依靠开胸手术组织病理学检查。手术切除或联合化疗是主要治疗手段。结论:原发于肺的淋巴瘤无典型临床特点,误诊率极高,支气管镜活检阳性率低,病理学检查是确定诊断的主要手段。
Objective: To investigate the clinical features, diagnosis and treatment of primary pulmonary lymphomas. Methods: Six patients with primary pulmonary lymphomas were analyzed. Their clinical characteristics, imaging findings, bronchoscopic findings, diagnostic methods and treatment methods were analyzed. Results: The primary pulmonary lymphoma had no specific clinical manifestations and was easily misdiagnosed as other lung diseases. Pulmonary imaging is mainly single mass or multiple nodules, not easy to identify with lung cancer. Bronchoscopy is usually no abnormal performance or only showed chronic inflammation, confirmed mainly rely on thoracotomy histopathological examination. Surgical resection or combination chemotherapy is the main treatment. Conclusion: The primary pulmonary lymphoma has no typical clinical features, the rate of misdiagnosis is very high, the positive rate of bronchoscopic biopsy is low, and the pathological examination is the main method to confirm the diagnosis.