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目的 :提高对头颈部恶性淋巴瘤的诊断水平 ,降低该病的误诊率。方法 :回顾近 2 0年 34例头颈部恶性淋巴瘤的临床资料 ,分析其误诊因素。结果 :34例患者中误诊为鼻息肉、鼻窦炎 14例 ,鼻咽癌 3例 ,鼻咽纤维血管瘤 2例 ,慢性鼻前庭炎 1例 ,急慢性扁桃体炎 9例 ,慢性咽炎、咽部异感症 5例。结论 :头颈部恶性淋巴瘤临床并非少见 ,但临床症状无特征性表现 ,医师对该病认识不足是导致误诊的主要原因 ,而及时活检、手术标本送病理检查可以减少或避免误诊的发生
Objective: To improve the diagnosis of head and neck malignant lymphoma, reduce the misdiagnosis rate of the disease. Methods: The clinical data of 34 cases of head and neck malignant lymphoma in recent 20 years were retrospectively analyzed, and their misdiagnosis factors were analyzed. Results: 34 patients were misdiagnosed as nasal polyps, sinusitis in 14 cases, nasopharyngeal carcinoma in 3 cases, nasopharyngeal fibrovascular tumor in 2 cases, chronic nasal vestibular inflammation in 1 case, acute and chronic tonsillitis in 9 cases, chronic pharyngitis, 5 cases of illness. Conclusion: The clinical manifestations of head and neck malignant lymphoma are not uncommon, but no clinical manifestation of clinical symptoms, physicians lack of knowledge is the main reason leading to misdiagnosis, and timely biopsy, surgical specimens sent to pathological examination can reduce or avoid the occurrence of misdiagnosis