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腹股沟处以肿块形式出现的疾病除疝以外还有非特异性淋巴结炎,异位睾丸,精索水囊肿和大隐静脉曲张,而类似疝的淋巴网状系统疾病则较少见,本文介绍作者收集的12例,其中有误诊为疝的,也有与疝并存的(见表),并复习文献报告如下.该组以往均无淋巴网状系统疾病,且又缺乏相应的症状,如体重下降、发热、盗汗和瘙痒等,除例7其枕部及左颌下结节发现已4年,误为脂肪瘤外,其余11例均无肝脾和周围淋巴结肿大.所累及的淋巴结直径约1.0～7.0cm,肉眼见呈淡褐色及匀质样改变,个别亦可见灶状坏死.例5经CT、淋巴管造影见增大的髂外结节,活检示弥漫性大细胞性淋巴瘤.例6疝修补三年后,对侧腹股沟发现滤泡状混合细胞性淋巴瘤.例12病理检查见滤泡内坏死,白细胞浸润的星状肉芽肿,耐酸染色和果莫里一环六亚甲基四胺银染色阴性,而Warthin-Starry染色见细胞外成簇的猫抓病(Cat-Scratch disease CSD)的多形杆
The disease in the form of a mass in the inguinal area is also characterized by non-specific lymphadenitis, ectopic testis, spermatic cyst, and great saphenous varicose veins, while lymphadenopathy resembling that of a hernia is rare. In 12 cases, which were misdiagnosed as delirium, there were also co-existing with delirium (see table), and reviewed the literature as follows. The group had no lymphatic system disease in the past, and lack of corresponding symptoms such as weight loss, fever, Night sweats, pruritus, etc., except for the occipital and submandibular nodules found in Example 7 for 4 years, lipomas were mistaken, and the remaining 11 cases had no hepatosplenomegaly and peripheral lymph nodes. The diameter of the involved lymph nodes was about 1.0 to 7.0. Cm, visually light brownish and homogenous, with focal necrosis in individual cases. Example 5 Increased extranodal nodule seen by CT and lymphangiography, and diffuse large cell lymphoma by biopsy. Three years after the repair, follicular mixed cell lymphoma was found in the contralateral groin. Example 12 Pathological examination revealed follicular necrosis, leukocyte infiltration of stellate granuloma, acid-fast staining, and glucolicyclohexamethylenetetramine Silver staining is negative, whereas Warthin-Starry staining sees extracellular clustered cat scratches (Cat-Scratch disease CSD) Multi-bar