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对福建省78例T细胞系淋巴瘤作10年病理回顾。男:女为2.39:1。首发部位多在淋巴结94.9%,全身多数淋巴结受累最多64.1%,其次为颈淋巴结。结外为3.9%。根据上海及北京方案将本组分为小淋巴细胞等10种亚型。阐述了不将混合型与过渡型列为亚型的理由以及将LennertL与蕈样霉菌病列为独立亚型的理由。认为这种分类可重复性大,能应用于日常工作。并着重讨论了诊断T淋巴瘤的指标以及T、B小淋巴细胞型、T、B免疫母细胞型、IBL样TL与免疫母细胞淋巴结病的镜下鉴别诊断。亚型中以淋母型最多,其次为多形T与透明T,它们各占两个年龄高峰,即10～29岁与50岁以后。本省T淋巴瘤占NHL的24.3%,居全国第5位;沿海多于内地,并推测了高发的原因。
78 cases of T cell lymphoma in Fujian Province for 10 years pathological review. Male: Female 2.39: 1. The starting site mostly in the lymph nodes 94.9%, the majority of systemic lymph nodes up to 64.1%, followed by cervical lymph nodes. 3.9% extranodal. According to Shanghai and Beijing programs this group is divided into 10 subtypes of small lymphocytes. The reasons for not including the mixed and transitional forms as subtypes and the reasons for the inclusion of LennertL and mycosis as an independent subtype were described. Think of this classification as repeatability, can be applied to daily work. The diagnostic criteria of T lymphoma and differential diagnosis of T, B small lymphocyte type, T, B immunoblastic type, IBL-like TL and immunoblastic lymphadenopathy were emphatically discussed. In subtypes, the most type of gonorrhea, followed by polymorph T and transparent T, they account for the two age peaks, that is, 10 to 29 years old and after 50 years of age. The province T lymphoma accounted for 24.3% of NHL, ranking fifth in the country; more coastal than the Mainland, and speculated that the causes of high incidence.